Location Information

  • Supreme Sports Club
  • 7080 Deepage Dr, Columbia, MD, 21045 US

Please add a ticket amount to complete the form.

Each ticket has entry fields to input the ticket holder's information. 

NOTE: If you are registering teens from more than one family, please use a different registration for each form as that each teen will need a specific waiver signed by a parent or guardian. 

VOLUNTEERS: Please select ticket quantity and then change the ticket type for volunteer. 

TicketsPriceFeeQuantity

Lock In Ticket

$20.00$1.58
Total: $0.00

Waiver and Permission Form

 The Waivers and Permission Form includes emergency info and emergency contact info for any participants in event of emergency, allowing our volunteers and staff to quickly provide assistance.

*The churches coordinating  reserves the right to subrogation if it is later determined that personal medical insurance was in place.

WAIVER AND PERMISSION:

As the parent(s) or custodial adult(s) of the participant registered on this form, I/we give permission for the Montgomery County Church of Christ, Greater Baltimore Church & other participating churches, herein listed as the COORDINATING CHURCHES, its agents, staff, and volunteers to obtain urgent or emergency medical care for my/our child, and I/we authorize health care providers to render such care as may be necessary. It is understood that reasonable efforts will be made to contact me/us prior to obtaining such care, but I/we authorize such care whether I/we are contacted or not, and I/we agree to be financially responsible for such care.

I/we give permission for the participant registered on this form to participate in the activities of the COORDINATING CHURCHES, both on the church premises and elsewhere. In consideration of the opportunity of my/our child/youth to participate in the activities of the COORDINATING CHURCHES, I/we release the COORDINATING CHURCHES, its officers, agents, employees, staff, and volunteers from any and all liability of any kind whatsoever for any loss or injury to my/our child/youth arising from my/our child/youth's participation in the activities of the COORDINATING CHURCHES; and I/we agree to indemnify and hold forever harmless the COORDINATING CHURCHES, its officers, agents, employees, staff, and volunteers from any and all liability of any kind whatsoever for loss or injury to my/our child/youth arising from activities on or off the premises of the COORDINATING CHURCHES event or resulting from traveling to or from the activities of the COORDINATING CHURCHES, including loss or injury resulting from negligence or gross negligence. I/we understand and agree that this permission and agreement shall remain in effect until revoked in writing by me/us, and I/we understand and agree that it is my/our responsibility to update our child/youth's medical and insurance information as changes occur.

If the guest is under 18 years of age an adult signature is required.

$0.00

Billing Information

  • Visa
  • Mastercard
  • American Express
  • Discover
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