Free Outdoor Event at Eyre Park 10/3
Youth Development United is partnering with Widener's Science Teaching Center to host free outdoor activities for grades K-8 at Eyre Park (next to Chester High School) on a day off from school, Thursday October 3rd, from 11:30am-1:30pm. 

This is not a drop-off event. All children must be accompanied by a supervising adult.

Families are encouraged to enjoy the park all day. Free lunch will be available for attendees including adults and siblings of all ages. 

Free Bikes - limited quantities in all sizes – first come, first served starting at 11:30! 

Please complete this form so that we can best prepare for the event. 


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Email *
Child(ren)'s Name(s)
Child(ren)'s Age(s)
I understand that this is not a drop-off event - all children must come with a supervising adult.
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How many in your family/group will join us for lunch? *
How many children in grades K-8 will attend the STEM activities? *
Is anyone in your family interested in learning how to ride a bike? (Training may be offered 1:30-2pm on 10/3.) *
Any allergies or specific needs we should consider?
Parent/Guardian Phone Number
I, the undersigned, understand that participation in the  program  involves certain inherent risks of injury, despite all safety precautions taken by the operators. Therefore, as parent and/or guardian, I will assume all risks, injury, sickness or illness, including communicable disease, for my child(ren) that may occur during the participation in any activities or use of facilities associated with the program. In the event that my child(ren) need medical treatment due to accident or injury or natural causes while registered and participating, I authorize the staff and operators to take whatever action is necessary to care for my child(ren). I hereby give permission to the staff and operators to use their best judgment in arranging for my child(ren)’s emergency medical treatment in addition to contacting me to the best of their ability. I certify that my child(ren) is/are fully covered by medical insurance and that I am fully responsible for all costs incurred due to medical or dental treatment as deemed necessary.
 *
Also, as the child(ren)’s parent/guardian, I hereby grant a license to Youth Development United, and their agents, including any advertising agencies, to use and to license others to use the child(ren)’s name, recorded voice, image, picture or likeness in any live or recorded audio, video or photographic display or other transmission for purposes of promotion and publicity in connection with Youth Development United events or programs and hereby waive any rights of compensation or ownership thereto. I HAVE READ, AND I UNDERSTAND, AND I VOLUNTARILY SIGN, THIS MEDICAL RELEASE/WAIVER/INDEMNITY AGREEMENT AND MODEL RELEASE AND AUTHORIZATION TO VIDEO/PHOTOGRAPH. 

*Please write your full name; this will be accepted as your signature.
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