Xtreme Journey RSVP - March 23, 2024

Xtreme Journey is for teens and young adults ages 14-21+ in foster care, adoptive families, relative placements, and those considered "at-risk." On this day, local business and community leaders with a vast amount of experience and connections will share their expertise in financial management, entrepreneurship, leadership, relationships/communication. and more!

The day is FREE, lunch is provided and there will be games and GIVEAWAYS!   

This form is ONLY for attendees who have a 2024 C4Y Mentee Application on file with Waymark and are currently enrolled in a Compass Group or 1:1 Mentorship.  

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Email *
Participant's Name (First & Last): *
Participant's Birthdate: *
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Participant's Age: *
Any known allergies or medical conditions: *
Participant's Gender: *
Participant's Shirt Size: *
Group Home (please specify), foster, adoptive or relative home: *

We are excited to provide free TBRI (Trust Based Relational Intervention) Training at this event!  This training is for parents of, or volunteers/professionals who serve, middle to high school-aged kids.  There will be two tracks of training this year: Introductory Sessions for those new to TBRI and Advanced Sessions for those looking to expand and further their training.

Please note below if you plan to attend so we can include you in the headcount for lunch.

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Person authorized to pick teen up: *
Phone Number: *
Waiver and Hold Harmless Agreement

In consideration of the Participant being allowed by Kids Cubed, Inc. dba Waymark to participate in and/or attend any and all activities associated with Waymark, I hereby agree to waive any and all claims, release, discharge, hold harmless, indemnify, defend, and covenant not to sue, for myself, my heirs, executors, administrators, and assigns Waymark, its officers, directors, employees, agents, volunteers, and members from and against any and all claims or demands due to or arising from bodily injury, personal injury, illness or death, any diseases, epidemics, or pandemics where known or unknown, as well as any and all property damages sustained of any nature which might be incurred by me and/or the Participant while participating in said activities. By signing below, the Participant (or parent/guardian if Participant is a minor) acknowledges and accepts the risks of physical injury associated with participation in the activity described above. The Participant (or parent/guardian) accepts personal financial responsibility for any medical expenses, bodily injury, personal injury, and property damages sustained during or in any way connected with or related to the activities.

(IF PARTICIPANT IS YOUNGER THAN 18 YEARS OLD, THE LEGAL GUARDIAN MUST SIGN, AND BY SIGNING, AFFIRMATIVELY REPRESENTS THAT HE/SHE IS THE LAWFUL GUARDIAN OF PARTICIPANT WITH THE LEGAL RIGHT TO ENTER INTO THIS AGREEMENT ON BEHALF OF PARTICIPANT)

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Participant/Guardian Full Name: *
Participant/Guardian Email: *
Participant/Guardian Phone: *
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