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Hold Harmless Waiver
We request that all participants at Indian Rocks agree to the following waiver.
Work Entry
Campus
Indianrocks | Largo
Indianrocks | En Espanol
Indianrocks | North East Park
Indian Rocks | Clearwater
Campus is required.
First Name
First Name cannot contain special characters such as quotes, parentheses, etc.
First Name cannot contain emojis or special fonts.
First Name is required.
Last Name
Last Name cannot contain special characters such as quotes, parentheses, etc.
Last Name cannot contain emojis or special fonts.
Last Name is required.
Email
Email address is not valid
Email is required.
Mobile Phone
Mobile Phone is required.
Birthdate
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Birth Date cannot be a future date.
Gender
Male
Female
Gender is required.
Which of the following would best describe where you are on your faith journey?
Interested, but not committed
Just getting started
I’ve been a Christian for a while but just now taking my faith seriously
I’ve been a Christian and closely following Jesus for a long time
I am returning to my faith after a time of running
Which of the following would best describe where you are on your faith journey? is required.
Which of the following would best describe your age and stage?
Young Singles
Young Married
Parents of Young Children
Parent of Teens
50s & 60s
70s+
Older Singles
Multi-Generational
Which of the following would best describe your age and stage? is required.
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