Name
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First Name
Last Name
Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email
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Phone
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(###)
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Emergency Contact
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First Name
Last Name
Emergency Phone
*
(###)
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How Did You Hear About This Retreat?
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Do You Attend Church Regularly?
Do you have any dietary restrictions?
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Notes/Special Requests
Which tickets are you purchasing?
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Would you like to pre-order a retreat shirt for pick up at the retreat?
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If so, please submit $25 Payment at time of registration payment and note shirt order. The shirt will include the Taste & See logo.
Would you like to gift any amount toward a ticket to be given to a woman otherwise unable to attend?
How do you plan to pay?
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All payments are nonrefundable. This retreat is not intended for profit. *
I agree to the waiver stated here.
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LIABILITY & USE WAIVER FOR ADULTS AT THE TASTE AND SEE RETREAT AT COLOMBIERE CONFERENCE AND RETREAT CENTER, CLARKSTON, MI, IT IS THE INTENTION OF THE UNDERSIGNED ADULT BY THIS AGREEMENT TO EXEMPT AND RELIEVE THE TASTE AND SEE RETREAT AND ITS OFFICERS, AGENTS, OR EMPLOYEES FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE, OR WRONGFUL DEATH OF EACH ADULT NAMED ABOVE CAUSED BY ANY ACT OF NEGLIGENCE OF TASTE AND SEE WOMEN'S RETREAT AND ITS OFFICERS, AGENTS, OR EMPLOYEES. For and in consideration of permitting THE UNDERSIGNED ADULT to observe, or use any facility or equipment of Equipped by God MINISTRY and our gathering location of COLOMBIERE CONFERENCE AND RETREAT CENTER or engage in and/or receive instruction in any activity or activity incidental thereto SOME OF WHICH MAY INVOLVE DANGERS AND RISK OF BODILY INJURY at: TASTE AND SEE WOMEN'S RETREAT AT COLOMBIERE CENTER, CLARKSTON MI while I am observing or using facilities or equipment at the undersigned facility at any time. I am the undersigned ADULT and hereby voluntarily and absolutely release, discharge, waive, and relinquish any and all loss or damages or actions or causes of action for personal injury, property damage, or wrongful death occurring to myself, the undersigned ADULT, as a result of observing or using facilities or equipment of TASTE AND SEE or COLOMBIERE CENTER, CLARKSTON, MI or engaging in or receiving instructions in any activities SOME OF WHICH MAY INVOLVE DANGERS AND RISK OF BODILY INJURY or in activities incidental thereto wherever or however the same may occur, and for whatever period said activities or instructions may continue. The undersigned ADULT and herself, her heirs, executors, administrators, or assigns agrees that in the event any claim for personal injury, property damage, or wrongful death that shall be prosecuted against TASTE AND SEE or its officers, agents, or employees, the undersigned ADULT will indemnify and hold harmless TASTE AND SEE and its officers, agents, directors, volunteers or employees from any and all claims or causes of action by the above named ADULT or by any other person or entity, by whomever or wherever made or presented, and under no circumstances will the undersigned ADULT present any claim against TASTE AND SEE and said persons for personal injuries, property damage, wrongful death, or otherwise, caused by any act of negligence by TASTE AND SEE and said persons. The undersigned ADULT represents that she has read this Release, has requested and has been provided with, or has requested and declined advisement on the potential dangers/risks of engaging in the observation, activities, or instruction offered, assumes all risks associated with such dangers and risks, and is fully aware of and understands the terms and the legal consequences of the signing of this Release. The undersigned ADULT intends his or her signature to be a complete and unconditional release of all liability to the greatest extent allowed by law and if any portion of the Release is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.
