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If you would like to learn more about any of our upcoming programs or events, including private retreats, please send us a message. A fresh adventure is waiting for you here at The Inn!

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Inn of the Last Resort

Heroes Week Registration

July 28 - August 2, 2025

Teens Ages: 14-18

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Name
Parent/Guardian Name (1)
Parent/Guardian Name (2)
Mentor or Pastor
Do you have any allergies?
Do you have any dietary restrictions?
Medical Problems?
Physical Disabilities?
Medications Required?
Special Needs?
Emergency Contact Name (1)
Emergency Contact Name (2)
Insured's Name
Medical Authorization

In case of sickness or an emergency, I authorize such medical procedures as are deemed necessary at the discretion of The Inn staff, using qualified medical personnel or institutions.

I understand that the activities at The Inn are organized and safe. However, in the event of a mishap, I agree to assume the risk and liability of any injuries that my child may suffer.

Media Release

By checking "Yes" below, you grant the Inn of Last Resort permission to use photographs, video, or audio recordings taken during your stay for promotional purposes, including but not limited to use on our website, social media platforms, and printed materials. Your name will not be used without additional consent.

Please indicate your Media Release preference by selecting "Yes" or "No" below.
Parent/Guardian's Electronic Signature
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