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________________________________________________________​_1 DAY Visitation Form

LIVING WATER CONFERENCE 2019
“Living Sacrifice”
July 26th - 29th
1 DAY Conference Fee

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$65 per attendee ​(Includes 3 meals)
Register by: ​June 30th
**YOU MUST PRE-REGISTER BY THIS DATE. NO ‘AT THE DOOR’ REGISTRATION.

​Conference Location

Sugar Pine Christian Campus
48478 Mill Canyon Rd.
Oakhurst, CA 93644

(Please Note: You may register as an individual, or as a family. Please attach additional pages if needed.)
Name

Age

M/F

Group
(Adult/Youth)

Contact #

FEE

1
2
3
4
5
6
7
8
TOTAL:

Please CIRCLE the day you plan to visit:​
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SAT

$

SUN

Please submit forms to a LWC staff or your youth leaders/Pastor. *Money & forms will only be accepted by church.
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Or send forms to: PO BOX 8594 Fresno CA 93747

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Checks must be payable to: Hmong Baptist National Association (HBNA)

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The Living Water Conference Staff and Sugar Pine Christian Camp Staff are not liable for any persons listed above. In any
event of any medical emergency, however, if parent or emergency contact person cannot be reached, HBNA will take
necessary measures to ensure the safety of every conference attendee.

By signing this form, the parent/guardian of the individual(s) who are attending the Living Water Conference 2019
understand and agree to the statements and expectations listed above. If an individual is 18 or older he/she may
sign for themselves after having read and understand the statements and expectations listed above.
____________________________________________________________

__________________________

Signature of Parent or Individual (if 18 or older)

Date

CHURCH NAME: ____________________________________________

________________________________________________________​_1 DAY Visitation Form

LIVING WATER CONFERENCE 2019
“Living Sacrifice”
July 26th - 29th

-MEDICAL RELEASE & EMERGENCY CONTACTTo help the Living Water Conference Staff better assist all needs and requirements of every conference
attendee, please list any allergies or medical problems that you or your household members have. All
information is kept confidential and will be used only during medical emergencies as necessary.

Name

Age

Group
(Adult/Youth)

Allergies/Medical Needs

1
2
3
4
5

Emergency Contact 1: _________________________________________________________
Phone:___________________________________________________

Emergency Contact 2: _________________________________________________________
Phone:___________________________________________________
By signing this form, the conference attendee(s), or parent/guardian of the conference attendee(s)
understand and consents the Living Water Conference Staff to take any necessary actions to ensure the
safety of conference attendee(s), should any medical emergencies arise. If the individual is 18 or older.
he/she may sign for themselves.

_________________________________________________

________________________________

Signature of Parent or Individual (if 18 or older)

Date