JGA Retreat Registration

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This form must be completed by all participants in overnight activities, field trips, events requiring group transportation, and any other event sponsored by Medhane-Alem Evangelical Church

Retreat Information

JGA Retreat 2026


Dates of Retreat:
Thursday, August 20th – Saturday, August 22nd, 2026
@Camp Arrah Wanna

Participant Information

Name
Address
T-Shirt Size
Will you be joining the full camp? (Thursday morning – Saturday Night)

Release of Liability and Medical Emergency Authorization

Although M.A.E.C. and its representatives will take every precaution to safeguard the health and well-being of the above-named participant and to prevent accidents, I release them from any liability in the event of illness or injury resulting from this activity. Furthermore, I release the owner and driver of the vehicle transporting the above-named participant to and from the event from any liability in the event of illness or injury.


In the case of sudden illness or an accident requiring immediate treatment or surgery while the above-named participant is involved in this activity, I authorize the M.A.E.C. minister(s) to take any action deemed necessary to protect the participant’s health and physical well-being. This authority extends to any physician(s) and/or surgeon(s) selected by the M.A.E.C. minister(s) to perform medical or surgical procedures, including examinations and tests necessary to preserve the participant’s health and physical well-being. Every effort will be made to contact the emergency contact persons listed below in the event of an emergency.

Name of primary emergency contact
Name of additional emergency contact
Clear Signature

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