ONE SM Nerf Night
Friday, September 9th | 6-9 PM
6th-12th Grades | Guys & ladies
Pizza and drinks will be available
Personal (non-modded) nerf guns welcome but leave personal ammo at home.  

Questions: Text or call Nic Schroeder (501) 412-4877 | Email at nic.s@cbf.us

*Students must obtain permission from parents before registering.
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Student Name  *
Student Phone Number (if applicable)
Additional Student Name
Student Phone Number (if applicable)
Additional Student Name
Student Phone Number (if applicable)
Additional Student Name
Student Phone Number (if applicable)
Additional Student Name
Student Phone Number (if applicable)
Emergency Contact *
Emergency Contact Phone Number *
Waiver and Acknowledgement
If a medical emergency should arise and I cannot be contacted, my permission is granted for the church staff, sponsors, or person in charge to obtain necessary medical attention for sickness or injury to myself or child. I do give permission to the hospital and/or physician, as selected by the person in charge, my permission to hospitalize, treat, and to order injections, anesthesia, or surgery for my child if incurred in case of accident or illness. I also give consent to transport by ambulance if the situation warrants. By my parental/guardian signature for myself, my estate, and my heirs, I release, discharge, indemnify, and forever hold harmless Cornerstone Bible Fellowship, and any related agency, conference, youth leader, member, employee or agent of Cornerstone Bible Fellowship, from any liability, injury, damages, loss, accident, delay or irregularity related to the undersigned individual or participant or involvement in this activity. This paragraph shall be construed broadly to allow supervising adults to make any and all emergency medical decisions on my behalf until I am able to do so. As Parent/Guardian, I consent for the above mentioned student to attend this church sponsored event. I have reviewed the information about the event, and give permission for the subject of this release to be involved in the overall activities. I/We have reviewed the rules of the activities and agree that the subject of this release will abide them. I/We also acknowledge that if the subject of the release has to return home early for discipline violations, it may be at my/our expense or I/we may be requested to come to the event to pick up the subject of the release. I/We understand all reasonable safety precautions will be taken at all times by Cornerstone Bible Fellowship and its agents during the events and activities. I/We understand the possibility of unforeseen hazards and know the inherent possibility of risk. I/We agree not to hold Cornerstone Bible Fellowship, its leaders, employees, and volunteer staff  liable for damages, losses, diseases, or injuries incurred by the subject of this form.
Parent Name
By placing my name below, I acknowledge the above and give my student(s) permission to participate.
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