Register for Collegiate Weekend! Please enable JavaScript in your browser to complete this form.Name *FirstLastPhone *Email *Date of Birth (MM/DD/YYYY) *M/F *FemaleMaleFood allergies? Detail belowTransportation plans (Have a ride, need a ride, can give others a ride, etc.)Arrival plans (Free to leave at noon? Have class or work until 4? Let us know and we'll do our best to help with a ride if needed. Late arrivals are no problem.LEGAL STUFF AND PERMISSION FORM By checking the box and submitting this registration, I acknowledge that my participation in BCM events is voluntary. I recognize that as BCM is a wholly-private, religious organization, and I have no legal entitlement to participate in any such events. I acknowledge that BCM as an organization does not provide transportation to or from any events. Any transportation is provided by and agreed to by individuals and not BCM or the Florida Baptist Convention. I understand that in the case of an emergency, BCM employees or sponsors will make every effort to contact the emergency contact person named in this form. However, should the named contact person be unavailable to make decisions regarding my care, I do hereby authorize and grant permission to BCM employees and/or sponsors to obtain emergency medical attention on my behalf (with the aid of various medical professionals where/when appropriate. Should the named emergency contact be unavailable to make decisions regarding my care, I do hereby authorize and grant permission for an attending medical professional and/or hospital to perform whatever care is deemed necessary for my welfare. HOLD HARMLESS: In consideration for being allowed to participate in activities, events, retreats, or trips: I hereby release, absolve, indemnify, hold harmless, and forever discharge Baptist Collegiate Ministries and the Florida Baptist Convention (along with their employees, agents, organizers, sponsors, or any supervisors appointed by them) from any and all claims, demands, actions or cause of actions, past, present, or future arising out of injury or damage to me while participating in any activity, event, retreat, or trip. I assume all risks and hazards incidental to the conduct of the activities, events, retreats, or trips and transportation to and from these activities, events, retreats, or trips. In case of personal injury, I hereby waive all claims against BCM and the Florida Baptist Convention (along with their employees, agents, organizers, sponsors, or any supervisors appointed by them) from responsibility. ALTERNATIVE DISPUTE RESOLUTION & WAIVER OF JURY TRIAL: I agree that any dispute, claim, question or disagreement arising out of or relating to said activities, events, retreats or trips, which cannot otherwise be resolved shall be submitted to mediation and, if necessary, legally binding arbitration. As a result, I expressly waive any right to trial by jury I may have. Consent and Medical Release *I understand the release of liability and medical consent form above and agree to it.Emergency Contact Name *FirstLastEmergency Contact Number *Relationship to You *Submit