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Event Information
Event Name
Event Access
- Virtual
- In Person
Online Access
Event Duration
- One day
- Multi day
- Recurring
Event Date
MM slash DD slash YYYY
Start Time
End Time
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
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Event Pricing
- Free
- Ticketed
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Event Cost - International Friend
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Event Cost - Volunteer

Personal Information
Are you an international friend or volunteer?*
- International Friend
- Volunteer
Name*
First Last
Email*
Enter Email Confirm Email
Phone
Gender*
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Wechat ID
Please add your WeChat ID if you have one.
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WhatsApp Number
Please add your WhatsApp number if different from the phone number above.
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Country of Origin
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Additional Information
- Graduation
Are you graduating at this time and desire to be recognized?*
- Yes
- No
Graduation Information
How would you like your name to appear on your certificate?*
What degree are you graduating with?*
Graduation Major or Concentration
University or School
Graduation Month
Graduation Year

Party Information
Will you be bringing household members or guests to this event?*
- No
- Yes
Household Members
Would you like to RSVP any household members for this event?
Check any household members who will be attending. Please remember that if this is a paid event, you will be responsible for paying the fee for all household members you add.
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Household Member Count
Additional Guests
Additional Guests
You can add any additional guests you will be RSVPing for here. Please do not add household members you have already selected. Please remember that if this is a paid event, you will be responsible for paying the fee for all guests you add.
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Maximum number of guests reached.
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How many (including yourself) will be in your party? Do not include international friends you will be driving.
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How many (including yourself) will be in your party?
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Please list names of those who will be attending, and their relationship to you.
Name Relationship Gender

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Waiver and Consent
I, , will be participating in Bible Story Share, Dinner, and DANCING!, (hereafter the “activity”) sponsored by Connect The Nations, a branch of Abide Ministries. I understand and confirm that my participation in the activity is voluntary. I confirm and represent that I am over the age of 18, or if I am not, that my parent or guardian has signed for me. I recognize that there are risks involved in participating in this activity and hereby assume all risks, unknown or known, foreseeable or unforeseeable, of injury, harm, damage, or death in connection with my participation in this activity. I understand and agree that neither Connect The Nations, nor its trustees, officers, directors, employees, agents or representatives may be held liable in any way for any injury, harm, damage, or death that may occur to me as a result of my participation in this activity and hereby release Connect The Nations, its trustees, officers, directors, employees, agents and representatives from any and all liability for, and waive any claim for, any personal injury, harm, death, economic or noneconomic damages or loss, including attorneys’ fees, in any way connected with my participation in the activity including transportation to and from the activity, even if caused by the negligent acts or omissions or other misconduct of Connect The Nations or any of its trustees, officers, directors, employees, agents and representatives. I accept personal responsibility for any liability, personal injury, economic or noneconomic damages or loss connected with my participation in the activity. To the fullest extent permitted by law, I agree to indemnify, save and hold harmless (i.e., to reimburse and be responsible for) Connect The Nations, its trustees, officers, directors, employees, agents and representatives from any claim by myself, my estate, heirs, successors, assigns or other persons arising out of my participation in the activity. This waiver shall be binding upon my relatives, personal representatives, heirs, beneficiaries, next of kin, or assigns. I authorize Connect The Nations through its trustees, officers, directors, employees, agents or representatives to render or obtain such emergency medical care or treatment for me as may be necessary should any injury, harm or accident occur to me while participating in this activity. I understand and acknowledge that Connect The Nations does not provide health or medical insurance in connection with the activity and I agree that I will be financially responsible for any bills incurred as a result of medical treatment, including emergency medical treatment and/or transportation to a medical facility, in connection with my participation in the activity. This instrument shall be governed, construed, and enforced in accordance with the law of the State of Michigan.
*
- THIS IS A RELEASE OF LIABILITY AND WAIVER. I HAVE READ THIS RELEASE OF LIABILITY, WAIVER, INDEMNIFICATION, AND CONSENT. I UNDERSTAND THAT I AM GIVING UP SUBSTANTIAL RIGHTS BY SIGNING IT. BY CHECKING THIS BOX, I AM SIGNING THIS RELEASE OF LIABILITY, WAIVER, INDEMNIFICATION, AND CONSENT VOLUNTARILY.
Additional Information
Additional Information
Please wear clothes/shoes comfortable in for playing a sport game or dancing, as those may be options after the story and discussion. Board games will also be an option! If you have questions, please contact: Yulia, Assistant Director for this event WhatsApp: +62 816-1405-760 Email: Yuliasuryana.ys@gmail.com
Additional Volunteer Information
Please wear clothes/shoes comfortable in for playing a sport game or dancing, as those may be options after the story and discussion. Board games will also be an option. For those wanting to help, set up will be from 6-6:30pm. Food: If you are bringing food, please be sure we have an idea of what you are planning to bring (there is a place to indicate this on registration). If anything changes, please let us know. When bringing food it is helpful if you bring a serving utensil, and list of ingredients (index cards will be there if needed, but it’s great to have it written before you come if possible). If you have questions, please contact: Yulia, Assistant Director for this event WhatsApp: +62 816-1405-760
Event Address
Street Address Address Line 2 City State ZIP Code

Payment Information
Total Number of Guests
Event Cost
Event Cost
Subtotal - International Friend
Price: $0.00
Subtotal - Volunteer
Price: $0.00
Total
$0.00
Payment Method
Credit or Debit Card
Credit Card
Card Details
Cardholder Name
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Donation
Would you like to make a donation to Connect The Nations to support the work that we do?*
Donations are NOT required. If you select yes, you will be given a redirection to complete your donation after you finish completing this form.
- Yes
- No
Email
This field is for validation purposes and should be left unchanged.

We look forward to having you joining us in this upcoming event!

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Event Information

Personal Information

Graduation Information

Transportation

Volunteer

Party Information

Household Members

Additional Guests

Waiver and Consent

Additional Information

Payment Information

Credit or Debit Card

Donation

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