REGEN for Students

Name: REGEN for Students
Start: 2021-10-22
End: 2021-10-24

ReGen: Restored to a better or more worthy state.

Fall REGEN Weekend is an event for all students in 6-12^th grade. It will be an incredible time to stay focused and prepared for a great school year. We will have games, music, teaching, small groups, late night fun for Mid and High School, and a GloTober Glow Party! The event is October 22,23,24.

We will meet:
Friday Night, Oct. 22: The I-70 Gym from 6:30 – 9:30 pm
(Mid School will stay for optional late night fun until 11:00 pm)

Saturday, Oct. 23: Lunch at noon – 10:00 pm
(High School will stay for optional overnight fun through Sunday morning)

Sunday Morning, Oct. 24: 9:00 – 11:45 am
Breakfast in The CORE!

The cost is only $30 for regular attending students and their first time friends can register for FREE! Registration forms and payments are due by Oct. 10^th at the Parent Meeting in The CORE from 12:00 – 12:30 pm.

REGISTER NOW FOR REGEN!

Student Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Guest of (if applicable)
First Last
Age
Grade
Gender
- Male
- Female
T-shirt Size (adult sizes)
Parent(s) Name
Parent Cell Phone
Parent Email
Emergency Contact Name (other than parent)
Emergency Contact Phone
Health Insurance Company
Insurance Company Address/Phone
Insurance Policy Number
Insurance Group Number
Event Waiver and Consent*
In consideration of the attendance of my child at REGEN, and for allowing my child to participate in this activity, I do hereby release and discharge First Baptist Church Blue Springs and all of its pastors and adult leaders acting officially or otherwise from any and all claims, demands, actions, or causes of action on account of any injury sustained by my child during said above named activity. I understand that an attempt will be made to notify the parents first. If the parents are not available, however, the youth will be taken to the emergency room at the nearest hospital as circumstances may warrant. If any conduct of the participant warrants them to be excused from participation in the event, I assume all responsibility for disciplinary action and picking up my child upon being notified by the Student Pastor.
I (parent) agree to the event waiver (please check).
Parent Name (electronic signature)*
First Last
Press submit to enter your registration info.

Payment for regular attending students can be made below. First time friends attend for free and may submit registration without payment.

The event is finished.

Date

Oct 22 - 24 2021

Expired!