RoadTrip 2019 Participant Adds/Drops/Substitutions This page is for your church's primary leader, who has already registered the congregation for RoadTrip, to be able to make additions, deletions, and substitutions. For any deletions, please remember that the $150/person minimum deposit is non-refundable after December 14. You may want to see about substituting this registration for another before canceling. Registrations are final within three weeks of the event, at which time the full balance is due per registered participant. For any additions, you will need the Individual Registration Forms for each participant to be able to complete your group's registration. You can bring these forms with you when you check-in at the event. We will collect both of these forms on Friday, so please make copies for your records if needed. Please also indicate by email where you would like the participant housed. Additions made after December 14 will result in a $25 late fee per registration. If your changes result in additional members to your group, the only thing you will need to mail in at this time is the non-refundable, minimum deposit of $150/person. The deposit must be received in order to complete this registration - instructions will be included in your confirmation email. If you still need the forms for your participants, they can be found here. Church and contact informationChurch name*ex. Grace Lutheran ChurchChurch city, state*ex. Wilmington, DEPrimary leader's name*The primary leader should be someone who will be on-site during the event.Primary leader's email address*All communication leading up to the event will happen via email Primary leader's cell phone number*I am filling out this form for...*(check all that apply) substitutions additions deletions SubstitutionsPlease complete the following for any participants you are swapping out - a previously-registered participant for a new participant.Name of Participant 1 who will NOT be attending First Last Participant 1 substitution namePlease use their preferred first name or nickname when entering their name - this is how their name will appear on their nametag First Last Role at RoadTripHigh school youth participantAdult leaderLYO youthEvent staffGenderGrade9th10th11th12thAdultT-shirt sizeAll sizes are adult; 2X and 3X shirts may vary in color. Please note that this participant may not be able to receive their selected size if the substitution is made after January 4.SMLXL2XL3XLPlease list any special needs, allergies, medical issues, or dietary restrictions for this participantInformation shared is kept as confidential as possible, but will be shared with event medical staff, Small Group Leaders, and other adult leaders as necessary to provide a safe and healthy experience for all participantsName of Participant 2 who will NOT be attending First Last Participant 2 substitution namePlease use their preferred first name or nickname when entering their name - this is how their name will appear on their nametag First Last Role at RoadTripHigh school youth participantAdult leaderLYO youthEvent staffGenderGrade9th10th11th12thAdultT-shirt sizeAll sizes are adult; 2X and 3X shirts may vary in color. Please note that this participant may not be able to receive their selected size if the substitution is made after January 4.SMLXL2XL3XLPlease list any special needs, allergies, medical issues, or dietary restrictions for this participantInformation shared is kept as confidential as possible, but will be shared with event medical staff, Small Group Leaders, and other adult leaders as necessary to provide a safe and healthy experience for all participantsName of Participant 3 who will NOT be attending First Last Participant 3 substitution namePlease use their preferred first name or nickname when entering their name - this is how their name will appear on their nametag First Last Role at RoadTripHigh school youth participantAdult leaderLYO youthEvent staffGenderGrade9th10th11th12thAdultT-shirt sizeAll sizes are adult; 2X and 3X shirts may vary in color. Please note that this participant may not be able to receive their selected size if the substitution is made after January 4.SMLXL2XL3XLPlease list any special needs, allergies, medical issues, or dietary restrictions for this participantInformation shared is kept as confidential as possible, but will be shared with event medical staff, Small Group Leaders, and other adult leaders as necessary to provide a safe and healthy experience for all participantsAdditionsPlease complete this section for any participants you are adding to the group. Additions made between December 14 and January 4 will require a $25 late fee.Participant 1 namePlease use their preferred first name or nickname when entering their name - this is how their name will appear on their nametag First Last Role at RoadTripHigh school youth participantAdult leaderLYO youthEvent staffGenderGrade9th10th11th12thAdultT-shirt sizeAll sizes are adult; 2X and 3X shirts may vary in color.SMLXL2XL3XLPlease list any special needs, allergies, medical issues, or dietary restrictions for this participantInformation shared is kept as confidential as possible, but will be shared with event medical staff, Small Group Leaders, and other adult leaders as necessary to provide a safe and healthy experience for all participantsParticipant 2 namePlease use their preferred first name or nickname when entering their name - this is how their name will appear on their nametag First Last Role at RoadTripHigh school youth participantAdult leaderLYO youthEvent staffGenderGrade9th10th11th12thAdultT-shirt sizeAll sizes are adult; 2X and 3X shirts may vary in color.SMLXL2XL3XLPlease list any special needs, allergies, medical issues, or dietary restrictions for this participantInformation shared is kept as confidential as possible, but will be shared with event medical staff, Small Group Leaders, and other adult leaders as necessary to provide a safe and healthy experience for all participantsParticipant 3 namePlease use their preferred first name or nickname when entering their name - this is how their name will appear on their nametag First Last Role at FreeRideHigh school youth participantAdult leaderLYO youthEvent staffGenderGrade9th10th11th12thAdultT-shirt sizeAll sizes are adult; 2X and 3X shirts may vary in color.SMLXL2XL3XLPlease list any special needs, allergies, medical issues, or dietary restrictions for this participantInformation shared is kept as confidential as possible, but will be shared with event medical staff, Small Group Leaders, and other adult leaders as necessary to provide a safe and healthy experience for all participantsParticipant 4 namePlease use their preferred first name or nickname when entering their name - this is how their name will appear on their nametag First Last Role at RoadTripHigh school youth participantAdult leaderLYO youthEvent staffGenderGrade9th10th11th12thAdultT-shirt sizeAll sizes are adult; 2X and 3X shirts may vary in color.SMLXL2XL3XLPlease list any special needs, allergies, medical issues, or dietary restrictions for this participantInformation shared is kept as confidential as possible, but will be shared with event medical staff, Small Group Leaders, and other adult leaders as necessary to provide a safe and healthy experience for all participantsParticipant 5 namePlease use their preferred first name or nickname when entering their name - this is how their name will appear on their nametag First Last Role at RoadTripHigh school youth participantAdult leaderLYO youthEvent staffGenderGrade9th10th11th12thAdultT-shirt sizeAll sizes are adult; 2X and 3X shirts may vary in color.SMLXL2XL3XLPlease list any special needs, allergies, medical issues, or dietary restrictions for this participantInformation shared is kept as confidential as possible, but will be shared with event medical staff, Small Group Leaders, and other adult leaders as necessary to provide a safe and healthy experience for all participantsDeletionsPlease note our cancellation policy: For cancellations received by the registration deadline (December 14, 2018), the non-refundable deposit may be returned. For cancellations received between the registration deadline and three weeks before the event begins, non-refundable deposits are forfeited and the remaining balance of the fee is forgiven. A refund will be issued if the balance has already been paid. For cancellations received within three weeks of the event start date, participants are responsible for the full balance.Name of participant who will NOT be attending First Last Name of participant who will NOT be attending First Last Name of participant who will NOT be attending First Last Name of participant who will NOT be attending First Last Name of participant who will NOT be attending First Last NameThis field is for validation purposes and should be left unchanged.
