ONE Student Ultimate Frisbee
Saturday, April 17th 2-4 pm
Sylvan Hills Middle School Practice Field (Johnson Road, Sherwood)
Contact Nic Schroeder@ 501-412-0419
FREE but please complete your student's sign-up by Thursday, April 15th so we know about how many to expect.
We will have frisbees, water and snacks plus we will have some activities for those that don't want to play but want to hang out. Your student may want to bring a chair and a towel.
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Student's Name *
Student's Name
Student's Name
Student's Name
Student's Name
Student's Name
Student's Phone number *
Student's Phone number
Parent's Name *
Parent's phone number *
Parent's phone number *
Email *
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.
Parent/Guardian Signature *
By placing my initials below, I understand and agree to all of the above.
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