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Personal Information

I wish to attend Joshua Generation *

Sex *
 +
Shirt Size *

Emergency Contact Information

Father's Information
Mother's Information
Emergency Contact #1
Emergency Contact #2

School & Church Information

YWAM Involvement

Have you been involved in JG before? *

Supplemental Questions

Medical Information

Are you currently under a doctor's care for any condition? *
Are you currently taking any medication? *
Do you have any food allergies or dietary requirements? *
Do you have any food allergies or dietary requirements? *
Females Only - Do you have any of the following? *
 YesNo
Irregular Periods
Severe Cramps
Excessive Flow
Personal History - Please mark any of the following that you have had or currently have now: *
 YesNo
Skin conditions
Ear trouble
Eye trouble
Head injury
Recurrent headaches
Epilepsy
Fainting spells
Mental disorders
Nervous disorders
Weakness
Paralysis
Insomnia
Allergies
Penicillin allergy
Sulphonamides allergy
Serum allergy
Chicken pox
Measles
Stomach ulcers
Gallbladder problems
Jaundice
Hepatitus
Intestinal problems
Recurrent diarrhea
Diabetes
Kidney disease
Anemia
Venereal disease
Tumor/cancer
Shortness of breath
Hay fever
Asthma
Heart trouble
High blood pressure
Low blood pressure
Rheumatism
Arthritis
Back problems
Dislocation of joints
Broken bones
Eating disorders
Anorexia nervosa
Bulimia
Surgery
Appendectomy
Hernia repair
Tonsillectomy
Scarlet fever
Tuberculosis
Mumps
Medical Permission: In case of an emergency, I give permission to Joshua Generation's leadership authorities and its representatives to obtain medical treatment for my child in my absence. *
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Release Form

PARENT RELEASE

Joshua Generation will be hosted at YWAM Greater Philadelphia, 7500 Germantown Rd, Philadelphia, PA, 19119, USA

I hereby certify that my child has permission to participate in the 2021 YWAM Joshua Generation bootcamp and outreach programs from July 9th-24th.

I agree and do hereby release and discharge any person engaged in the activity described above from all claims, present, and future, known and unknown. In any manner arising out of the described activity, I further understand and agree this release shall hold harmless any leader or other person engaged in the activity described above from any and all liability relating to my child and from all personal injury or illness that my child may suffer.  I, furthermore, agree to hold them harmless from any loss of property that may occur to my child during the activity described above.

PARENT RELEASE

Joshua Generation will be hosted at YWAM Greater Philadelphia, 7500 Germantown Rd, Philadelphia, PA, 19119, USA

I hereby certify that my child has permission to participate in the 2021 YWAM Joshua Generation bootcamp and outreach programs from August 4th-17th.

I agree and do hereby release and discharge any person engaged in the activity described above from all claims, present, and future, known and unknown. In any manner arising out of the described activity, I further understand and agree this release shall hold harmless any leader or other person engaged in the activity described above from any and all liability relating to my child and from all personal injury or illness that my child may suffer.  I, furthermore, agree to hold them harmless from any loss of property that may occur to my child during the activity described above.

Joshua Generation has my permission to take and upload photos of my child on the YWAM Boston, Philadelphia, and Pittsburgh's website and social media pages. *
Parent/Guardian's Signature *
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Participant's Signature

PARTICIPANT'S SIGNATURE

 

I have read the JG application and am familiar and responsible for all the information it contains. I promise to adhere to all guidelines and instructions given by my leaders.

Participant's Signature *
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Application Fee

**Please do not forget to submit your application and then complete step 2 below, applications cannot be accepted until the application fee is paid**
If you don't see it below, please use this link: CLICK HERE
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