Personal Information

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Terms and Conditions

 In consideration of being allowed to register for, and participate in the event, I hereby warrant and represent that I release from liability, assume all risks, and indemnify and hold harmless New Jersey YMCA State Alliance, Inc., and its employees, independent contractors, venue, agents, other attendees or volunteers for any expense, loss, damage, personal injury, sickness with COVID-19, or any other illness, including loss of life, disability, property damage, or property theft or actions of any kind that I may hereafter suffer or sustain before, during, or after the event, unless said expense, loss, damage, personal injury, including loss of life, disability, property damage or property theft or actions of any kind is caused by the sole, gross negligence of New Jersey YMCA State Alliance, Inc. This Liability Waiver and Release is specifically binding upon my heirs and assigns and is knowingly given.

 

By registering for this event or conference organized by New Jersey YMCA State Alliance, Inc., you are agreeing to comply with these Terms and Conditions outlined here:

Do you have any dietary/religious restrictions? (Check all that apply.)

To successfully participate in this event, which of the following types of assistance will you need?  (Check all that apply.)

                      In case of emergency while at the conference, please share your Emergency contact name and contact number.

* 

The 13th Annual Culture of Health Conference will provide more actionable items, focused round table discussions of the 7 Vital Conditions of Health by The Rippel Foundation.  We are asking each attendee to select no more than two Vital Conditions their organization represents.  You will be organized as groups based on these choices.  For more information and details, go to:  https://rippel.org/explore-thriving-and-vital-conditions-data/

This question is required.

Policies

Take a moment to review and agree to the policies for this event.

The following policies are in place:

  • Cancellation Deadline: October 14 with a $20 fee if cancelled before that date.
  • Last date to register: October 23
  • Name changes are OK up to October 27.