Fall Retreat Registration Name*FirstLastOBU ID#Student Cell Phone*Email*Gender*MaleFemaleClassification*Transfer students, please choose based on how many years you've attended college.FreshmanSophomoreJuniorSeniorPayment Method*Pay online (secure online payment available after you submit this form)Mail check to: CM Fall Retreat, OBU Box 3783, Arkadelphia, AR 71998By signing this form, I understand that unforeseen dangers and/or injury could occur either on the site of THE CAMPUS MINISTRIES 2014 FALL RETREAT and/or in transport to and from the destinations. With this knowledge I hereby waive, release, absolve, indemnify and agree to hold harmless Ouachita Baptist University, any organization and/or staff and agents thereof should injury or damage occur. I further release liability for loss of property or damage to the same. I, for myself, my heirs, executors, administrators, distributes and assigns, in consideration of my admission to this event and other good and valuable considerations, do hereby absolve said Ouachita Baptist University, and organization and/or staff and agents thereof and hold them harmless from any claim or demand which I or they might conceivably assert upon the basis of the foregoing.*Student SignatureFirstLastDate of Birth*If student is under the age of 18, the liability form will need to be signed by a parent or legal guardian.