FunCity Trampoline Park
Come join us for a JUMPING good time at the trampoline park!
When: Sunday, March 27, 2022
Time: 3:00pm - 5:00pm
Location: 50 E Main St, New Britain, CT 06051
Sign in to Google to save your progress. Learn more
Student Name *
Address (if we don't already have it on file)
Phone Number (if we don't already have it on file)
Emergency Contact Name/Number *
Email Address (if we don't already have it on file)
I give permission for my child to participate in the outing at the Trampoline Park with Impact CT Youth Group. In the event that my child would need emergency medical treatment, I give permission for the adults in charge of the group to secure the necessary treatment to protect the life and health of my child. I understand that I will be contacted before any medical treatment has begun except where a delay in treatment would not be in the best interest of my child. *
Special Medical information that should be noted (If applicable)
Any food allergies/sensitivities (if applicable)
I have signed the Online Waver for the Trampoline Park: https://www.funcitynb.com/online-waiver/ *
How will we be accepting your payment? ($17 for 60 minutes of jump time) *
I am signing this permission slip electronically and agree to the terms above as well as confirming all information above is up to date and accurate (please type your first and last name below as your signature) *
Relationship to student *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy