FCA GameReady Registration Form
**Please only submit the form once. If you see the confirmation message then your registration has been received.**

September 28, 2019 Time 9:00am - 1:30pm

Location: Lindenwood Christian Church, 2400 Union Ave, Memphis, TN 39112

Fee: $10 - Covers T-Shirt and Lunch
Please BRING $10 and PAY AT THE DOOR WHEN YOU ARRIVE!
If you have any questions call the Memphis FCA office: 901-683-3399.

A confirmation email will be sent to you after the below registration form is submitted which will include all of the information needed for GameReady.
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Camper First Name: *
Camper Last Name: *
Current Grade *
School *
Sport *
T-shirt Size *
Birth Date (MM/DD/YY) *
Gender *
Home Address: *
City *
State *
Zip *
Camper Cell Phone #: *
Camper Email address: *
Parent or Guardian Name: *
Parent or Guardian Cell Phone #: *
Parent or Guardian Email address: *
Food allergies
List any food allergies. The camp will try to accommodate.
Release of Liability *
By checking the box below, I am saying that I am the parent or guardian and I expressly warrant that the student named above is capable of withstanding both the physical and mental demands of the activities discussed above. I also expressly assume all risks of the student participating in the activities, whether such risks are known or unknown to me at this time. I further release the Fellowship of Christian Athletes (FCA) and its leaders, employees,Officers, Directors, volunteers, and agents from any claim that my student may have or that I may have against them as a result of injury or illness incurred during the course of participation in the activities. This release of liability shall include (without limitation) any claims of negligence or breach of warranty. This release of liability is also intended to cover all claims that members of the student’s or my family or estate, heirs, representatives, or assigns may have against this organization or its leaders, employees, volunteers or agents. I further agree to indemnify and hold harmless FCA and its leaders, employees, volunteers, or agents from any and all claims arising from my student’s participation in its activities and programs, or as a result of injury or illness of my student during such activities.
Pflichtfrage
First Aid and Emergency Medical Treatment *
I recognize that there may be occasions where the student named above may be in need of first aid or emergency medical treatment as a result of an accident, illness, or other health condition or injury. I do hereby give permission for agents of this organization to seek and secure any needed medical attention or treatment for the student named above including hospitalization, if in the agent’s opinion that such need arises. In doing so, I agree to pay all fees and costs arising from this action to obtain medical treatment. I give permission for camp trainer and camp professional medical staff to give over-the-counter medications as needed, as well as, attending physician(s) and other medical personnel to administer any needed medical treatment, including surgery and, again, I agree to pay for the medical treatment. I give permission for my student to be transported to a medical center in an emergency situation.
Pflichtfrage
Release to use Image and Likeness *
I recognize that there may be occasions where the student named above may be in need of first aid or emergency medical treatment as a result of an accident, illness, or other health condition or injury. I do hereby give permission for agents of this organization to seek and secure any needed medical attention or treatment for the student named above including hospitalization, if in the agent’s opinion that such need arises. In On occasion, the Fellowship of Christian Athletes (FCA) or its representatives takes photographs or makes an audio or videotape recording of students and/or adults involved in activities. Such photographs or video records may be used by staff and participants to remember the activities and participants.Local news organizations may hear of our activities or events, and our organization may invite or allow them to photograph or record our events for news reporting on special interest features. I consent to the use of any such audio or visual record of the student named above to be used, distributed or displayed as agents of the organization see fit. This consent includes but is not limited to: photographs, videotape and audio recordings. Furthermore, I give permission for the student to be interviewed by the news media, or for such photographs and other audio or visual records to be used by the news media.In addition, such photographs and audio/visual recordings may be used in publications or advertising materials to let others know about our activities. These images may also be used by FCA or its agents to produce ministry resources for staff training, Camp or Campus Ministries, or other uses to promote the ministry of FCA. FCA may also make these materials available for sale to the public.
Pflichtfrage
Parent Name *
Parent birthdate *
By entering your parent's birthday you are saying that they are aware that you are attending this event.
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