REGISTRATION Information

We cannot wait to have you at the Ranch! Before attending a retreat we need a bit of information about you.

Please fill out the form below & press I Accept to agree to our online Waiver of Release

We will do our best to accommodate to dietary needs and housing requests. Please submit any dietary needs two weeks prior to your retreat in order for us to to easily be able to accommodate dietary needs. Your needs are not a burden to us and it is an honor to serve you!

 

Basic Information, Dietary Needs,

& Waiver of RElease

 
Participant's Full Name *
Participant's Full Name
Phone Number *
Phone Number
Address *
Address
Date of Birth *
Date of Birth
Vegetarian, Gluten Free, Dairy Free, none, etc. We are happy to accommodate to the best of our abilities, and we will only ask that you eat this way all weekend. And please specify if this is a preference or allergy.
Any special health /physical needs that will be helpful in determining your sleeping proximity to retreat meals and meetings? Anyone you want to room with? - we do our best to accommodate and sometimes are unable due to limited facilities and are limited when it comes to sleeping couples together.
Have you been to a REVEL Retreat before? *
Name of Spouse or Emergency Contact
Phone Number of Emergency Contact *
Phone Number of Emergency Contact
Music Recording and Photography *
During your retreat we will record all music and make it available to you to listen to and share. We also may take photos and occasionally take video to use. We do not share this outside of your retreat, but may post some photos/videos to social media or share with certain groups through email.
Release, Waiver and Assumption of Risk *
This is a legally binding release, waiver, and assumption of risk made by me to TOTH MINISTRIES / REVEL. I wish for myself to be able to utilize the facilities located at TOTH RANCH, as well as any off-site facilities where a particular activity is conducted during the retreat sponsored by TOTH MINISTRIES. For any retreat I attend, as well as to participate in any activities sponsored, organized or recommended by TOTH MINISTRIES / REVEL, and I hereby agree as follows: I acknowledge and understand that there are certain dangers and risks to which I may be exposed by utilizing TOTH RANCH or participating in the activities, including the risk of serious physical injury, temporary or permanent disability, and death, as well as severe social and economical loss. The risks may arise not only from my own actions, inactions, or negligence, but also from the actions, inactions, or negligence of others, or the conditions of TOTH RANCH or of any equipment used. I also acknowledge and understand that there may be other risks not presently known or reasonably foreseeable. I understand that I am not required to participate in any activities or to utilize TOTH RANCH, but that I freely choose to do so, despite the possible dangers and risks and participation in the activities and utilization of TOTH RANCH.
Agreement and Waiver of Liability *
By typing my name I declare that all information provided is accurate to the best of my knowledge, and agree to REVEL's Waiver of Release.