One Day Fun Day at Exodus Ranch
Saturday, April 20
11am - 3pm at Exodus Ranch
2280 Pine Drive, Douglasville, GA 30135
 
ONE DAY FUN DAY is for youth ages 6-18 and their foster & adoptive families. This year's fun will include: Horseback riding, mechanical bull riding, petting zoo, inflatables, special entertainment, and much more!

The day is FREE and lunch will be provided by The Cheezy Truck! 
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Email *
Please list the NAMES and AGES of everyone planning to attend: *
T-shirt size for each child attending: *
Contact Name & Phone Number: *
Emergency Contact Name & Phone Number: *
Will parent(s) be staying? (Note, if anyone in the group is under the age of 6, a parent will be required to stay.) *
Who will be picking child(ren) up if parent is not staying? *
Waiver and Hold Harmless Agreement

In consideration of the Participant(s) being allowed by Kids Cubed, Inc. dba Waymark to participate in and/or attend any and all activities associated with Waymark, I hereby agree to waive any and all claims, release, discharge, hold harmless, indemnify, defend, and covenant not to sue, for myself, my heirs, executors, administrators, and assigns Waymark, its officers, directors, employees, agents, volunteers, and members from and against any and all claims or demands due to or arising from bodily injury, personal injury, illness or death, any diseases, epidemics, or pandemics where known or unknown, as well as any and all property damages sustained of any nature which might be incurred by me and/or the Participant(s) while participating in said activities. By signing below, the Participant(s) (or parent/guardian if Participant(s) is a minor) acknowledges and accepts the risks of physical injury associated with participation in the activity described above. The Participant(s) (or parent/guardian) accepts personal financial responsibility for any medical expenses, bodily injury, personal injury, and property damages sustained during or in any way connected with or related to the activities.

(IF PARTICIPANT(S) IS YOUNGER THAN 18 YEARS OLD, THE LEGAL GUARDIAN MUST SIGN, AND BY SIGNING, AFFIRMATIVELY REPRESENTS THAT HE/SHE IS THE LAWFUL GUARDIAN OF PARTICIPANT(S) WITH THE LEGAL RIGHT TO ENTER INTO THIS AGREEMENT ON BEHALF OF PARTICIPANT(S)).

*
Participant/Guardian Full Name: *
Participant/Guardian Email: *
Participant/Guardian Phone: *
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