Phone *

We may need to contact you via call or text to inform you of important updates regarding your event. This will be for REST use only. We will not share this information with any other parties.

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Dates *

Which retreat dates are you registering for?

Mar 14-17

Apr 4-7

Jun 27-30

Sep 5-8

Oct 10-13

Marketing

May we email you with promos and special offers?

Yes, I would like to recieve REST marketing emails.

No, thank you.

Responsibility *

I understand that by submitting this form, I am informing REST Ministry Network LLC of my intention to occupy a space at an upcoming event, and therefore am agreeing to paying the full cost associated with this event.

Yes, I understand.

I verify that I have read and understand the cancellation policy.

Photo/Video Permission *

During this event we (Rest Ministry Network LLC, the company) may take photos/videos for social media or marketing purposes. We retain all copy rights for any photos/videos taken during this event. We do not release photos/videos to any outside parties for distribution. By submitting this form, I (the undersigned) hereby grant the company the right to use, reproduce, and/or distribute photographs, films, and sound recordings of myself, without compensation or approval rights, for use in materials created for purposes of promoting the activities of the company.

Yes, I understand.

Disclaimer *

By participating in REST services (i.e. events/website/consults/courses/ emails/etc.) I acknowledge that REST staff are not licensed healthcare professionals and our services do not replace the care of licensed healthcare professionals. Our ministry is in no way to be construed or substituted as psychological counseling or any other type of therapy or medical advice. REST staff will at all times exercise our best professional efforts, skills and care. However, we cannot guarantee the outcome of our ministry efforts and/or recommendations for any of our ministry outflow (i.e. events/website/ services/emails/etc.) and our comments regarding outcomes are expressions of opinion only. We cannot make any guarantees other than to deliver the services purchased as described.

Yes, I understand.

Release, Waiver and Assumption of Risk *

This is a legally binding release, waiver, and assumption of risk made by me (the participant) to REST Ministry Network LLC (the company). By signing this waiver agreement, I am agreeing to the following terms: 1) The participant agrees that their participation in this event is voluntary. Additionally, the participant agrees to assume any risk that is associated with participating in the event and releases the company from any and all claims of damage and loss that may occur as a result of participation. The release is without limitation and includes the personal injury fees, loss of personal property, attorney's fees and any other losses that might occur to the participant. 2) The participant agrees to hold the company harmless against all claims of damage and loss including damage to the company's property caused by the participant. 3) The participant hereby warrants that they are physically fit and able to participate in this event without any undue risk. 4) the company maintains the right to refuse the participation of the participant in this event if they foresee that participation would risk damage to any party. 5) This waiver agreement is governed by the laws of the state of Nebraska. Any legal claims or lawsuits related to the participants in this event shall take place in courts located in the state of Nebraska. 6) The participant agrees that this waiver agreement shall remain in full force and take effect without change and that participation in this event is pursuit to the terms of the agreement.

I verify that I am at least 18 years old.

I have read and agree to all terms in the Waiver of Release noted above.