UCDYN – PARTICIPANT APPLICATION

Mar 10, 10 | Tâm Duyên | 7,978 views | No Comments



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UCDYNC

UNITED CAO DAI YOUTH NETWORK CONFERENCE 2010

“Van Giao Nhut Ly
Many Religions One Principle”

PARTICIPANT APPLICATION



United CaoDai Youth Network is a religious youth organization with the goals to build a network of CaoDai and non-CaoDai youth, to strengthen the CaoDai beliefs in the younger generation, and to serve CaoDai and humanity.



Deadline: Early Registration April 15, 2010 or Regular Registration May 30, 2010
*Early Registration Will Get Automatic Raffle Drawing Ticket to Win a Prize*

Send via postal address: 10866 Arlington Ave. Riverside, CA. 92505 USA or email at unitedcaodaiyn@yahoo.com

Name (Last, First, MI): ____________________________________________
Physical Address: _________________________________________________
City and State: __________________________________________________
Mailing Address (if different): _______________________________________
City and State:_____________________ Phone number: _________________
E-mail Address:_____________________ Date of Birth: ___________________
Name of Parents/Guardian (for minor):___________________________________
Parents’/Guardian’s contact information: _________________________________
Emergency contact Name and Phone #: __________________________________
Medical Doctor Name and Phone # (for minor): _____________________________
Allergies: ____________________________________________________________
Occupation: _________________ Interests/Ideas for Conference Events: __________________


RELEASE AND WAIVER OF LIABILITY AGREEMENT

I, ________________________________________ (“Participant”), acknowledge that I have voluntarily applied to participate in the United CaoDai Youth Network Conference (the “Conference”) from June 30, 2010 through July 4, 2010.

I AM FULLY AWARE OF THE RISKS AND HAZARDS CONNECTED WITH PARTICIPATION IN THE CONFERENCE, INCLUDING, BUT NOT LIMITED TO PHYSICAL INJURY. I AM VOLUNTARILY PARTICIPATING IN THESE ACTIVITIES WITH KNOWLEDGE OF THE DANGER INVOLVED, AND AGREE TO ASSUME ANY AND ALL RISKS OF BODILY INJURY, DEATH, PROPERTY DAMAGE OR LOSS, WHETHER THOSE RISKS ARE KNOWN OR UNKNOWN.

I verify this statement by placing my initials here:________________Parent or Guardian’s initials (if under 18):_____________________

I HEREBY RELEASE, WAIVE, DISCHARGE, AND COVENANT TO NOT SUE, United CaoDai Youth Network, United CaoDai Youth Network Conference, Giao Hoi CaoDai Dai Dao, their officers, agents, volunteers, and representatives (hereinafter referred as RELEASEES) from any and all liability, claims, demands, actions, and causes of action, whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by me, or to any property belonging to me, while participating in physical activity, or while on or upon the premises where the event is conducted.

It is my expressed intent that this release and hold harmless agreement shall bind the members of my family, spouse, my heirs, assignees, distributees, guardians, next of kin, and legal representatives that I now have, or may have in the future, for injury, death, or property damage, related to (i) my participation in these activities, (ii) the negligence or other acts, whether directly connected to these activities or not, and however caused, by any Releasee, or (iii) the condition of the premises where these activities occur, whether or not I am then participating in the activities.

In signing this release, I HAVE CAREFULLY READ THIS WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND THE UNITED CAODAI YOUTH NETWORK, AND I SIGN IT OF MY OWN FREE WILL.

If Signed by Parent or Guardian: I verify that the dangers of the activities and the significance of this Release and Waiver were explained to the Participant and that the Participant understood them.

Executed at ____________,___________________ on , 2010.
(city) (State/Country)

PARTICIPANT: ______________________________________________ (Signature)
Address:___________________________________________________

RELEASOR PARENT OR GUARDIAN: ______________________________ (Signature)
Address:______________________________________________

IF YOU ARE UNDER 18 YEARS OF AGE, YOU AND YOUR PARENT OR GUARDIAN MUST SIGN AND INITIAL THIS FORM WHERE INDICATED.

Xem: INVITATION LETTER
THƠ MỜI
PARTICIPANT APPLICATION
UNITED CAODAI YOUTH SCHOLARSHIP
CAODAI ESSAY AND SPEECH CONTEST
PROGRAM SCHEDULE


Please feel free to email unitedcaodaiyn@yahoo.com to receive
the UNITED CAO DAI YOUTH NETWORK CONFERENCE 2010 PACKET





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