The Veracity Project 2018 Veracity Project 2018 Sanctus - Veracity Project Student Name* First Last Grade*6th7th8th9th10th11th12th2nd Student AttendingStudent Name #2 First Last GradeN/A6th7th8th9th10th11th12thAddress* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Name of Parent or Guardian* First Last Emergency Contact Phone Number*Insurance Company Name*Insurance Company Phone Number*Name of Primary Policy Holder*Insurance Policy Number*By checking the box below, I hereby give permission for any and all medical attention to be administered to my child/children in the event of accident, injury, sickness, etc., under the direction of The Sanctuary Fellowship, if I am unable to be reached. I also assume the responsibility for the payment of any such treatment. This release is effective for the period of one year from the date given below. It is my intention, by this instrument, to exempt and release The Sanctuary Fellowship from all liability whatsoever for personal injury, property damage, or wrongful death arising from any participation in this event. I hereby personally assume all risks in connection with said event, for any harm, injury, or damage that may befall my child/children while they are participating in this event, including all risks connected therewith, whether foreseen or unforeseen. By checking the box below I agree to all terms and conditions listed above. I confirm that I am the parent / guardian of the student(s) listed above. I understand and acknowledge that checking the box below acts as my electronic signature.* By checking this box I am agreeing to the terms and conditions listed above. Registration Fee*One StudentTwo StudentsPaying with check at TSFNeeding SponsorshipThis cost includes all transportation, meals, lodging and admission into conference. Total $0.00