MAX 2025

Thursday, April 24, 2025 at 5:00 PM until Saturday, April 26, 2025 at 2:00 PMCentral Daylight Time UTC -05:00

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

On April 24-26 the North Central Field will be on MNU's campus to participate in the MidAmerica Xtreme event. During the weekend, students will participate in various activities in sports, Bible quizzing and liberal arts. All participants must register with their district to attend the MAX event.

Event Fees

MAX cost is $65 per person (student and adult). Your district will have your total cost to attend MAX. Please send fees to your District Coordinator.

Event rules and information can be found at https://www.mnu.edu/church-relations-youth-events/. Questions, contact Lisa Downs at ldowns@mnu.edu or 913-971-3434.

Entrant Type - Please select one

Adult Chaperone

Community Arts Academy

Junior High (grade 8 and below)

Senior High (grade 9 and up)

Entrant Information

First Name

Last Name

Mailing Address

Country

Street

City

Region

Postal Code

Email Address

Mobile

Gender

Female

Male

Birthdate

T-Shirt Size

Church Name

District

High School Graduation Year

Tournament Events

Bible Quizzing

Liberal Arts - please enter the name of your piece in the space provided after the category.

Vocal Music

Vocal Ensemble

Vocal Solo

Solo Member and Name of Piece

Ensemble Members and Name of Piece

Musical Theater

Worship Band

Worship Band Name

Instrumental Music

Instrumental Ensemble

Instrumental Solo

Keyboard Solo

Instrumental Ensemble Members and Name of Piece

Name of Instrumental Piece

What instrument will you be playing?

Name of Keyboard Piece

Art

Chalk/Pastels

General

Oil/Acrylic

Pen/Ink

Pencil

Water

Name of Oil/Acrylic Piece

Name of Water Piece

Name of Chalk/Pastel Piece

Name of Pencil Piece

Name of Pen/Ink Piece

Creative Art

Ceramics

Jewelry

Sculpture

Name of Jewelry Piece

Name of Ceramics Piece

Name of Sculpture

Creative Writing

Fiction/Nonfiction

Poetry

Fiction/Nonfiction Title

Poetry Title

Preaching

What topic will you preach on?

Drama

Monologue

Sign Language

Sketch

Spoken Word

Monologue Title and Names of Participants

Name of Sign Language Piece and Names of Participants

Name of Sketch and Names of Participants

Spoken Word Title and Names of Participants

Dance: Creative Arts

Dance

Name of Dance Piece and Names of Participants

Photography

Architecture

Cellular Device

Land/Sea Scape

Portrait

Film Festival

Comedy

Documentary

Drama

Name of Architecture Piece

Name of Cellular Device Piece

Name of Land/Sea Scape Piece

Name of Portrait Piece

Athletics

Individual Sports (Fri-Sat)

5K Run

Bowling

Tennis

Team Sports (Fri-Sat)
(One bracketed event only)

Thursday Night Options

Saturday Options

Exhibition Events

Medical Release

This MAX event is sponsored by the North Central Field Nazarene Youth International in cooperation with MidAmerica Nazarene University.

All participants must be covered by their own personal insurance.

Allergies:

Please list any medical problems:

Past surgeries:

Will you need to take any medication(s) during the event?

Please list medications, schedule and dosage:

Health Insurance Company

Policy Number

Group Number

Emergency Contact

First and Last Name

Home Phone

Work Phone

Cell Phone

Authorization for Emergency Medical Treatment

Teen:

I have read the Field Conduct Guidelines and promise to live within these guidelines during MAX @ MNU. 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 MAX@MNU 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 MAX @ MNU 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 MAX@MNU. 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 MAX Event, 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?