Intro

All registrants for the Bible Quiz National Finals 2019 including quizzers, coaches, officials, and attendees need to complete the waiver form.

Agree and Acknowledge

I understand and acknowledge that if I proceed to register online and to sign the waiver electronically, that, under the Electronic Transactions Act, such electronic registration and electronically signed Waiver document will be valid and enforced in the same manner as a hand-signed document that exists in physical form and that a record or signature may not be denied legal effect or enforceability under law solely because it is in electronic form.

Basic Information

Use parent or guardian information if under 18

Contact Information

Use parent or guardian information if under 18

Emergency Contacts
Minor Information

Enter the information for the children for which you are responsible for:



I, the registrant named above or parent/legal guardian thereof, assume full liability of hazard and risk for myself (or my child) during Bible Quiz Nationals 2019. I give permission for hospital or emergency medical staff to administer any necessary treatment to me (or my child) should I (or he/she) be sick or injured during BQ Nationals 2016 I accept full responsibility to communicate any medications or medical conditions to appropriate medical staff. I understand and agree that neither the National Youth Ministries of the Assemblies of God, nor the General Council of the Assemblies of God, or any of their affiliated entities or individuals, directors, officers, employees, agents, volunteers or any other representatives thereof shall incur any financial responsibility of liability whatsoever, for any such injury or damage resulting from my service participation at BQ Nationals 2019 however caused, whether due to negligence or any other acts of any person.

*If the emergency contact is not present on-site, it is the parent/legal guardian’s responsibility to designate an on-site adult representative to act in case of emergency. Parents, legal guardians, and designated representatives are responsible to have student medical records or knowledge thereof. Designated representatives must carry authorized parental/legal guardian consent in writing.

Signature

By entering my name below and clicking the “Submit Waiver” button below, I indicate my acceptance and delivery of this waiver and release. I acknowledge that I have been given an opportunity to prevent or correct any error in connection with this waiver form. If I have submitted this waiver form in error, I will immediately notify you of the error, revoke my signature as instructed, and refrain from participating in any event or activity to which the waiver applies, as provided in Section 204(b) of the Uniform Electronic Transactions Act.