2020 Excursion | Global Family Policy Forum
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Register for our 2020 Excursion
Participant Full Name
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Cell Phone Number
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Email Address
Participation Agreement
I acknowledge that participation in the activity described above involves risk to the participant, and may result in various types of injury including, but not limited to, the following: sickness, bodily injury, death, emotional injury, personal injury, property damage, and financial damage. In consideration for the opportunity to participate in the activity described above (the “activity”), the participant acknowledges and accepts the risks of injury associated with participation in and transportation to and from the activity. The participant accepts personal financial responsibility for any injury or other loss sustained during the activity or during transportation to and from the activity, as well as for any medical treatment rendered to the participant that is authorized by the sponsor or its agents, employees, volunteers, or any other representatives (collectively referred to as the “activity sponsor”). Further, the participant releases and promises to indemnify, defend, and hold harmless the Activity Sponsor for any injury arising directly or indirectly out of the described activity or transportation to and from the activity, whether such injury arises out of the negligence of the activity sponsor, the participant, or otherwise. If a dispute over this agreement or any claim for damages arises, the participant agrees to resolve the matter through a mutually acceptable alternative dispute resolution process. If the participant and the activity sponsor cannot agree upon such a process, the dispute will be submitted to a three-member arbitration panel for resolution in accordance with the rules of the American Arbitration Association.
Particpant agrees to and accepts the conditions in the agreement as detailed above.
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I agree
2020 Excursion
Quantity
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Price:
$75.00
Quantity
Coupon Code
Excursion Discount
Price:
Credit Card
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American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Month
01
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Year
2025
2026
2027
2028
2029
2030
2031
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2035
2036
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2039
2040
2041
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2043
2044
Expiration Date
Security Code
Cardholder Name
Total
$0.00
By submitting this reservation I agree to all the conditions of the trip.
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