Backyard Revival 10th grade - Young Adult Sept 18

Standard ticket

$225.00

Prices are in USD.

Who’s this registration for?

First name

Last name

Email address

Contact phone

Grade

Parent/Guardian Info

First & Last Name

Parent/Guardian Email

Parent/Guardian phone number

Emergency Contact Info

Emergency Contact Name

Emergency Contact Relation (Father, Mother, etc.)

Emergency Contact phone number

Emergency Contact email

Parent Consent please sign each one

“In the event I cannot be reached, I authorize Cornerstone representatives to obtain necessary emergency medical treatment for my student.” Please sign full name below

Liability / Risk Acknowledgment “I understand that participation involves inherent risks associated with travel, transportation, overnight accommodations, theme-park activities, and group activities.” Parent full name below

Behavior Expectations “I understand that participants are expected to follow leader instructions, remain with their assigned group, respect hotel and venue rules, and conduct themselves in a manner consistent with Cornerstone’s expectations.”

Photo/Video Permission Permission for Cornerstone to photograph/video the participant and use images in church communications and social media. This should ideally have a Yes / No selection rather than being bundled into the liability waiver.

Financial/Cancellation Acknowledgment “I understand that registration is not complete until payment is received and that certain trip expenses may become nonrefundable after tickets/hotel reservations are purchased.”

I give permission for my student to participate in the Cornerstone Youth trip to Southern California, September 18–19, 2026, including Backyard Revival at Angelus Temple and Universal Studios Hollywood. Please sign full name below.

Transportation Consent “I give permission for my student to be transported to and from California and between trip activities in vehicles operated by authorized Cornerstone leaders/drivers.” Please sign full name below.

Medical information and Roommate Requests

Please list any medical info, allergies, or medicine required during this trip

Please list roommate requests, they are not guaranteed but will be taken into consideration

Backyard Revival 10th grade - Young Adult Sept 18 - 19

Booking details

Who’s this registration for?

Grade

Parent/Guardian Info

Emergency Contact Info

Parent Consent please sign each one

Medical information and Roommate Requests

Booking details

Who’s this registration for?

Grade

Parent/Guardian Info

Emergency Contact Info

Parent Consent please sign each one

Medical information and Roommate Requests

Contact the event organizer