Register for Survival Revival WeekendFirst Name *Last Name *Email *PhoneDate of Birth *Street Address *Apartment, suite, etcCity *State/Province *ZIP / Postal Code *School/OccupationLocal Church *Select T- shirt size (Men's and Women's sizes available)XSSMLXLAny allergies/ dietary restrictions? *Liability Agreement and ReleaseI acknowledge that I wish to participate in the 2024 RiseUp Survival Revival Weekend, which will be held in South Dakota, from September 19-22, 2024. I understand that certain risks are inherent in travel and other activities in which I will participate in this weekend, and fully accept those risks. These risks include, but are not limited to, injury, disease and/or other threat of physical harm to myself and others and damage to or theft of personal property. I understand that there may be a great variety of other risks not known or reasonably foreseeable. I acknowledge that RiseUp is not responsible for any harm that might occur. I understand and agree that RiseUp does not provide insurance to cover expenses for damage to my personal property and that RiseUp strongly recommends that I also carry my own health, medical and property insurance for purposes of potential losses related to this project. I fully release and discharge rise up and its employees, officers, and agents from all liability in connection with my participation in this trip.Liability Agreement and Release *By checking this box, you agree with all terms outlined in above liability agreement. TotalRegister Please complete all required* areas. If you have any issues with registration or need to report an error, please email us at contact@riseupyoungadults.org