13 HOURS Middle School
February 11th, 7 pm to February 12th, 8 am
101 Hunter Cove, Sherwood, AR 72120
$13 per student--Friends are free
Contact Nic S @ 501-412-0419 or nic.s@cbf.us
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13 HOURS 7pm-8pm
13Hours is an all night lock-in packed full of games, food, Scripture, crazy team competitions, and little sleep. 13 Hours is a Middle School (6th-8th grade) event located at the ONE Student Ministry Warehouse at Cornerstone Bible Fellowship. High school students and adults maintain an exciting environment the entire night into the next morning hours. This event costs $13 and lasts 13 hours from 7:00 PM – 8:00 AM (Friday Night – Saturday Morning) February 11th-12th. If you have any questions, please contact Nic S at (501) 412-0419 or nic.s@cbf.us

Items students will need:
--$13 (cash, check, Venmo @ns1sm, or CashApp $ns1sm, or Apple Pay)
--Sleeping bag and/or blanket
--Pillow
1st Student Name *
Student Cell Phone *
2nd Student Name
Student Cell Phone
3rd Student Name
Student Cell Phone
Parents Name *
Parent's Cell Phone *
Parent's Email *
Medications or Allergies *
Health Insurance Carrier *
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/Guardian Signature or Initials *
By placing my initials below, I understand and agree to all of the above.
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