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Registration
Form |
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Print Out and Mail with your payment to:
* Prices stated are for one person.
Please print or type: Name _____________________________________________________
family name personal/given name
Address _____________________________________________________________ __________________________________________________
City State Zip Code
Phone ( ____) ________________ Fax ( ____) _____________________________ E-Mail Address _______________________________________________________
Spouse's name (if coming) _____________________________________________ Children (age and sex) ________________________________________________ ____________________________________________________________________ Home Country _______________________ Religion _________________________ Age_______ School ___________________________________________________ Major (Subject of Study) ______________________________________________ Any food restrictions or allergies to pets?________________________________
___________________________________________________________________ Do you have any physical disabilities? ________________________________ ___________________________________________________________________ If yes, do you have someone to accompany you? _________________________
IMPORTANT: Please sign the LIABILITY WAIVER & AGREEMENT OF PARTICIPATION I certify that my/my family's participation in this tour is voluntary. For myself and any who would claim under me, I release INTERNATIONAL FRIENDSHIP MINISTRIES, its employees, trustees, and agents, from any liabilities for loss, injury, or damage to my person (or any member of my family) or property which may result from my/our participation. I have read the website pages and agree to participate in all scheduled activities.
Signed _______________________________________ Date __________________
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Make checks payable to and send with registration form to: INTERNATIONAL FRIENDSHIP MINISTRIES P.O. Box 12504, Columbia, SC 29211-2504 |
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