Clone of 2025 Florida Spring Break Registration

  • 2026 Florida Spring Break Registration

    March 27-April 4, 2026 | Join Campus Life for a week of fun & sun!

  • PARTICIPANT INFORMATION:

  • Format: (000) 000-0000.

  • PARENT/GUARDIAN INFORMATION:

  • Format: (000) 000-0000.

  • SECONDARY EMERGENCY CONTACT:

  • Format: (000) 000-0000.

  • AUTHORIZED PICKUP PERSON(S):

    If different than the names listed above.
  • Format: (000) 000-0000.

  • MEDICAL INFORMATION

    **If you do not have a physician or medical insurance, please put N/A in the spaces provided.**
  • Format: (000) 000-0000.

  • Non-Prescription Medications:

    The following non-prescription medications may be used on an AS NEEDED BASIS to manage illness and injury. Please indicate below which medications the participant may NOT receive. These non-prescription medications will be administered by YFC staff according to manufacturer's labeled dosages unless a written statement (prescription) from participant's health-care provider authorizes a different dosage.

  • Medication Administration Instructions:

    "If medicine is present during YFC activities, that medicine must have written instructions present with it during the activity from a doctor, parent, or legal guardian." Any medication, prescription or over-the-counter, brought to an YFC activity must have written medical instructions and dosage information from a physician, parent or legal guardian. All medications must be in the original container where issued.

  • LIABILITY RELEASES

    These releases MUST be completed by the parent/guardian of the participant, unless the participant is 18 years of age or older.

  • YFC Consent and Release of Liability: I represent that I am the participant named (if 18 or over) or the legal parent/guardian of the child named, who is under 18 years of age. In consideration for allowing my child to participate in this activity and ongoing YFC activities, I hereby consent to the foregoing on behalf of my child and agree that this release shall be binding upon me, my child, our heirs, legal representatives and assigns.*

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        Florida Deposit

        The deposit is deducted from the total trip price (not in addition to).

        $100.00
          
        Florida Regular Full Payment

        Price if paid after February 20th

        $589.00
          
        Subtotal
        $0.00
        Tax
        $0.00
        Total
        $0.00
        Payment Details
      • Should be Empty: