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Have an account?

Your Waiver / Intake Form

*This form is required for every individual in the venue, mobile, and nonprofit programs.

Birthday
Month
Day
Year
How did you hear about us?
Single choice
Venue Experience
Mobile Experience
Chosen Celebration
Life Skills Workshop
Non-Profit Sponsored Event
Special Event
Choose whether you approve or disapprove of professional pictures/video/social media used for the individual
Yes
No
Choose whether you approve or disapprove of the individual receiving a free Bible and resources if this individual decides to follow Jesus.
Yes
No

By signing this document, I acknowledge the inherent risks and voluntarily assume full responsibility for any injury, damage, or loss that may result from my participation. I hereby waive and release the business, its owners, and its staff from any and all liability, past, present, and future, relating to the services provided.

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Date
Month
Day
Year
Time
Time
HoursMinutes
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