Riverside ASL Ward Conference 2026 Registration Form

Riverside ASL Ward Conference 2026 Registration Form

Please fill out your details to register for the conference and specify any special needs or preferences.
Riverside ASL Ward - Blaine Church Building
Attendee Information
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Diet Restrictions and Allergies

YesNo
- I understand that my child/youth will participate under the coordination and supervision of the designated adult leader.

- I acknowledge that participants are expected to wear modest clothing at all times.

- I understand that participants are required to wear a one-piece swimsuit for swimming activities. If I do not have one, I agree to wear a two-piece swimsuit with a T-shirt to ensure appropriate coverage.

- During the event hours, youth and children will be supervised by the designated leader.

- Outside of the scheduled event hours—including breakfast, lunch, dinner, or any time off-site—parents or guardians are responsible for their child’s supervision.
Youtube
I have read the terms or watched the video, and I understand and agree. Please sign below.

If you are over 18, please skip this section. If children or youth under 18 will be participating, complete the permission and medical release form below. Download the form, fill it out, and upload the completed copy. Alternatively, you can print it, complete it by hand, and bring it with you on Friday, June 5th.
Permission & Medical Release Form (Upload forms for up to 8 children)

Cancelof
Finished uploading the formI will bring the from on Friday, June 5thSkip, I am over 18 years old

Accessibility Needs
Accommodations Needed: Please describe any support or accommodations you require:

Free Conference Ticket for Friday, Saturday, Sunday

Grab your ticket to our three-day gathering, featuring five meals, inspiring presenters, valuable sessions, great entertainment, opportunities to make new friends, socialize, and much more! (Limited to 250 seats, RSVP required)
Friday, June 5 – Registration opens at 5:00 PM. Free In-N-Out Burgers provided.Saturday, June 6 – Join us for an all-day conference and a special Asian performance evening. Enjoy free breakfast and an Asian dinner (lunch on your own).Sunday, June 7 – Join us for sacrament services. Free breakfast and lunch provided. The event will conclude after lunch.
YesNo
Fried Rice with Chicken, Shrimp, Raisins, Pineapple, Roasted Cashew Nuts, Egg, Curry PowderFried Rice with Seasoning, Egg, Onion, Tomato with BeefFried Rice with Seasoning, Egg, Onion, Tomato with ChickenFried Rice with Seasoning, Egg, Onion, Tomato with Pork

Donation Amount (optional) — enter any amount you wish

USDDescription

Riverside ASL Ward - Blaine Church Building