Rooted Youth Weekend 2026 Sign Up and Liability Waiver

ROOTED Youth Weekend

Saturday March 21st 2-8pm @ The Well Church

For youth in 6th-12th grade

Join us for a powerful and fun time of learning how to grow a deep personal connection with God, and be rooted and grounded in Him. We will build connection, play games, seek God in worship, and glean from our guest speakers Pastor Joe Bogue and Pastor Brian Sherman from EYC!

**This event is FREE**

**A pizza dinner will be provided**

Schedule:

2pm Arrive & Games

3pm Session 1

4pm Group discussion

4:45 Break

5pm Dinner *Pizza, fruit, drinks and cookies provided

6pm worship

7pm Second session

8pm Pick Up

Please reach out to Thea with any questions! thea.johnson@thewellgr.com

First Name *

Last Name *

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Age *

Parent/Guardian Full Name if participant is under 18 *

Parent Phone Number *

Parent Email Address *

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Full name of Emergency Contact *

Emergency Contact Phone Number *

List of any Allergies or Medical Conditions we should be aware of *

Release Of Liability Statement

In consideration of the possibility of injury including, but not limited to, the following: sickness, bodily injury, emotional injury, personal injury, property injury, property damage. I hereby release The Well Church, directors, officers, pastors, persons in a leadership position who are given authority by the board of directors for oversight and all participating groups or persons officially connected with this event from any and all liability for any injury or damages whatsoever arising from any participating in this event. Also, I give my permission for any photo or video of participant to be used on any of The Well Church's publication, advertisement, website and social media. By typing my name below, I authorize The Well Church to make emergency medical decisions for the participant and am in agreement with the above RELEASE OF LIABILITY STATEMENT,

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