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New Mexico September 2023 Child (ages 0-13) Retreat Registration Form
Mandatory - 1 Per Purchase
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* Indicates required question
Child's Full Legal Name
*
Your answer
Parent's Full Legal Name
*
Your answer
Child's Date of Birth
*
MM
/
DD
/
YYYY
Child's Gender
*
Male
Female
Parent's Email
*
Your answer
Parent's Phone number
*
Your answer
Parent's Address
*
Your answer
I acknowledge that I am solely responsible to supervise my child at all times.
*
Yes
No
I acknowledge that there are no lifeguards on duty and that I am solely responsible to look after my child.
*
Yes
No
I acknowledge that any damage that my child causes to the property will be billed directly to me plus a 15% admin fee.
*
Yes
No
By attending the retreat, I understand that keeping the common areas clean is a communal responsibility and not that of the volunteers, I will clean up after my child.
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Yes
No
I acknowledge that I am responsible to obey all safety precautions as listed in writing via email and as explained verbally.
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Yes
No
By attending the retreat, I will cooperate with the administrators and volunteers.
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Yes
No
By attending the retreat, I understand that I am surrounded by nature and will ensure that my child respects the surrounding landscape and wildlife.
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Yes
No
By attending the retreat, I forfeit all right to bring a suit against Zawiyah Foundation, Zawiyah Foundation’s administrators, and volunteers for any reason.
*
Yes
No
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