YES Conference

Friday, January 30, 2026 at 7:00 PM until Sunday, February 1, 2026 at 11:00 AMCentral Standard Time UTC -06:00

MidAmerica Nazarene University - Smith Hall
2030 E College Way
Olathe, KS 66062
United States

This event is for high school students (9th-12th grade).

The cost is $75 for students and $50 for sponsors. Please mail payments to: Lisa Downs, MNU, 2030 E. College Way, Olathe, KS 66062.

Registration/Check In will take place on Friday, January 30th starting at 7:00 pm. The conference will end on Sunday, February 1 at 11:00 am. Adult sponsors will be expected to stay on campus to assist in supervising their students in attendance.

Students and sponsors will be housed in one of our dorms on campus. Participants will need to provide bedding (air mattresses, sleeping bags, etc.) and toiletries.

The deadline to register is January 12, 2026. Please contact Jonathan Eigsti, YES Director, for additional information at jmeigsti@gmail.com or Lisa Downs, YES Registrar, at ldownsmnu.edu.

Contact Information

First Name

Last Name

Mailing Address

Country

Street

City

Region

Postal Code

Email Address

Mobile

Gender

Female

Male

Birthdate

Additional Information

Registrant Type

High School Graduation Year

T-Shirt Size

Are you planning to participate in the Saturday night activities?

Church Name

District

Youth Pastor Full Name

Youth Pastor Phone Number

Insurance Company

Insurance Policy Number

Parent/Emergency Contact Information

First Name

Last Name

Mobile

Authorization for Emergency Medical Treatment

Teen Participant:

I have read the Field Conduct Guidelines and promise to live within these guidelines during YES Conference. I also promise to cooperate with District sponsors and be under their authority. I am aware that failure to do so will result in disciplinary action.

Electronic Signature

Parents:

I hereby give authority to Fred Toomey, who is the Field Youth Coordinator of the North Central NYI, to obtain necessary medical attention or to authorize treatment at any hospital in the event of a medical emergency. I also recognize the authority of all adult sponsors and the YES Conference staff as those who will supervise this event and uphold proper conduct. The first step of discipline, should such become necessary, will be a warning and instruction. The second will be a telephone call to the parent or guardian concerning the participation of my son/daughter. I understand that the event of YES Conference will require my son/daughter to make choices and to keep a schedule, and that he/she may not be always under direct adult supervision. I agree to release and hold harmless any and all staff and lay assistants of District/Field NYI or MidAmerica Nazarene University from any and all claims, suits, costs, and actions of any kind whatsoever, arising from their exercise of the power granted by this authorization, unless due to verifiable negligence. My son/daughter has my permission to attend YES Conference. All Covid-19 policies will be followed according to CDC and Johnson County guidelines.

NOTE: Valuables should be left at home!

I, the undersigned, have read this release and understand its terms. I execute it voluntarily and with full knowledge of its significance. I have executed this release as parent or guardian of the above child as stated above.

Electronic Signature

Assumption of Risk, Release, and Waiver of Liability Agreement

In consideration of the opportunities provided by MidAmerica Nazarene University, its board, employees, volunteers, participants, and all other persons or entities acting in any capacity on its behalf (collectively referred to as “UNIVERSITY”) in conjunction with the North Central YES Conference, I on behalf of myself, my children, my parents, my heirs, assigns, personal representatives, and estate, agree as follows:

1. Some or all of the Event will be held at the UNIVERSITY, but I understand and acknowledge that the Event is not designed, operated, supervised, or sponsored by the UNIVERSITY. The Event is designed, operated, and supervised by an independent, third party. The third party is only renting the UNIVERSITY facilities.

2. I acknowledge that my participation in the Event entails known and unanticipated risks, which could result in physical or emotional injury, paralysis, death, or damage to myself, to property, or to third parties. I understand that such risks simply cannot be eliminated. I further certify that I am willing to assume the risk of any medical or physical condition I may have.

3. I acknowledge that there are risks, known and unknown, related to COVID-19 involved with my participation in the Event. These risks include exposure to or infection from COVID-19 and health consequences due to such exposure or infection. These risks are unavoidable and I may contract COVID-19, including because of negligence of any person or otherwise. I understand that I cannot be guaranteed that I will not contract COVID-19, including at the UNIVERSITY through participation in the Event. I agree and promise to accept and assume all of the risks associated with COVID-19 through my participation in the Event.

4. I expressly agree and promise to accept and assume all of the risks existing in this Event. My participation in this Event is purely voluntary, and I elect to participate despite the risks. I hereby give my consent for any medical treatment that may be required, as determined by a medical professional at the medical facility, during my participation in the Event, with the understanding that the cost of any such treatment will be solely my responsibility.

5. I hereby voluntarily release, waive, and forever discharge any and all claims of negligence against UNIVERSITY that relate in any way to any activity I undertake in conjunction with the Event, including transportation to and from the Event.

6. Should UNIVERSITY or anyone acting on its behalf, be required to incur attorney’s fees and costs to enforce this Agreement, I agree to indemnify, defend, and hold them harmless for all such fees and costs.

7. I understand that UNIVERSITY does not maintain an insurance policy that would provide coverage in the event that I am injured during the Event or cause any injury during the Event. I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating in the Event, or else I agree to bear the costs of such injury or damage myself.

8. I understand that UNIVERSITY may photograph, film, and/or record (“Medium”) my participation in the Event. I authorize UNIVERSITY to use Medium and my likeness in conjunction with any UNIVERSITY marketing and/or promotional materials, including, but not limited to, social media accounts. I understand that I will not be compensated in any way for such use.

In the event that I file a lawsuit against UNIVERSITY, I agree to do so solely in the state of Kansas, and I further agree that the substantive law of Kansas shall apply without regard to conflict of law rules. I agree that if any portion of this Agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect.

By signing this document, I expressly state that I have had sufficient opportunity to read this entire Agreement and the Medical Release Agreement.

I further certify that I have read and understand it, and I agree to be bound by its terms.

I further acknowledge that this document contains a negligence waiver and indemnification provisions.

Liability Waiver Electronic Signature

Electronic Signature Consent

By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.

What is your relation to the student?