We have chosen curriculum that fosters cooperation and team building skills.

Size: px
Start display at page:

Download "We have chosen curriculum that fosters cooperation and team building skills."

Transcription

1 May 2018 Dear 8th Grade Parents: The 8th grade team of teachers is excited about this year s trip to Camp Kulaqua. Our students will be participating in a two-day outdoor education program Thursday, August 23 and Friday, August 24. We will depart from Trinity Prep at 7:30 a.m. on Thursday morning and we will return at approximately 5:00 p.m. on Friday. Please make arrangements to have your child picked up on time. We have chosen curriculum that fosters cooperation and team building skills. Accommodations are in air-conditioned cabins. Excellent meals, including vegetarian choices, are served in a dining room and in picnic areas for lunch. If your child has any special dietary needs, please indicate those on the permission slip. Why miss classes for outdoor education? Our students can learn things away from their familiar environment and close to nature that we simply cannot teach as well in the classroom. This program is designed to help them: Strengthen relationships and develop new ones, Gain a better sense of self-identity and independence, Foster attitudes of inquiry and openness to challenge, Accept responsibility more readily, and Gain a better understanding of the environment and their relationship to it. Please print, complete, and return to school the attached Consent Waiver by June 1, A packing list may be found in the Parent Resource Section of the TPS website. We encourage every student to participate. If you have questions regarding this trip, please me at parkerg@trinityprep.org. Thank you, Georgia Parker 8th Grade Team Coordinator

2 Participant Agreement RELEASE, EXPRESS ASSUMPTION OF RISK, CONSENT, WAIVER, & INDEMNITY AGREEMENT READ CAREFULLY THESE IMPORTANT CONDITIONS FOR PARTICIPATION THAT AFFECT YOUR RIGHTS AND OUR LIABILITY (Initial and sign below to confirm your agreement) In consideration for the opportunity to participate in the adventure recreational services, consisting of cables, lanyards, harnesses, pulleys, elevated walkways and platforms, powerfan rapid descent machine, climbing walls and zipline, provided by the Florida Conference of Seventh Day Adventists d/b/a Camp Kulaqua, I, the undersigned participant, hereby acknowledge and agree: I understand that, although uncommon, risks of serious injuries, illness, or death always exist, and cannot be eliminated in adventure recreational activities such as these, due to falls, to contact with objects, other persons, or the environment, or to moving and motion from being transported in the activities; and that there can be risks of emotional or psychological injury or distress, resulting from personal touching, whether necessary, unwelcome, or inadvertent, in the preparation for participation, as well as a range of emotions from simple hurt feelings to panic or psychological trauma (such as fear of heights). I expressly hereby assume the risk of such injury, illness or death, that may occur as a result of my participation in the activities, whether resulting from the negligence of any party, including myself, and also even the negligence on the part of Camp Kulaqua, its respective employees, officers, directors, stockholders, agents, successors-in-interest, tower engineers, and contractors, and assigns (Released Parties) themselves, whether passive or active. I represent and agree that I am in reasonably good health and physical condition, weigh not less than 65 lbs nor more than 250 lbs, am appropriately dressed, am not pregnant, have no existing injuries or limitations, have no musculoskeletal disorders, have no heart condition or condition of hemophilia, do not have epilepsy or other seizure disorders, and am not under the influence of alcohol, or any drug, prescription or illegal, or any other substance that would affect or impair my judgment in order to participate in the adventure recreational activities provided by Camp Kulaqua. I hereby waive and release, discharge, and covenant not to sue, forever, Released Parties for any claims of liability against them, whether for any injury, death, loss, or other damages to myself, my family, my heirs, or my assign, and representatives. By signing this Release, Express Assumption of Risks, Consent, Waivers, & Indemnity Agreement, I hereby acknowledge that I understand the conditions stated in it, and that my participation in the recreational activities provided is solely based on those conditions and my agreement to them. I further agree to save, defend, indemnify, and hold harmless (i.e., defend and pay, including costs and attorneys fee, including appellate proceedings) Released Parties from any claim or lawsuit by me, or by anyone purporting to act on my behalf, my family, my estate, my heirs, or my assigns, for damage, injury, or death, arising directly or indirectly out of my choice to participate in the recreational activities provided. I intend that this Agreement be enforceable to the fullest extent provided by law, and in the event that any of the terms set forth in this Agreement or any word, phrase, clause, sentence (including without limitation any geographic, temporal, or participatory restrictions), part, or provision should be found to be illegal, void, or unenforceable for any reason, such word, phrase, clause, sentence, part, or provision shall be modified or deleted in such manner as otherwise required, in to extend the fullest effects, rights, duties, and protections under this Agreement, as so modified, so that the validity of the remaining words, phrases, clauses, sentences, parts, and provisions shall not be affected thereby and shall be deemed, interpreted, and enforced, as being severable and independent from such illegal, void, or unenforceable provisions, and said illegal or invalid part, term or provision shall be deemed not to be a part of this Agreement and all other valid provisions shall survive and continue to bind the parties, and be interpreted and enforced, as if such illegal, void, or unenforceable provisions were never a part of this Agreement. This Agreement shall be interpreted and enforced according to the laws of the State of Florida, notwithstanding the choice-of-law rules or conflicts of laws principles of this State, or of any other state, territory, province, or nation; and any claim or action relating to, or arising out o, this Agreement may be brought only in a court located in, or comprising, Alachua County, Florida; and only after participation in a presuit mediation conference, which is a prerequisite condition to bringing suit. I agree to follow and comply with all conditions, rules, and directions by Released Parties, and that failure to do so is reasonable basis to be excluded from participation in the recreational activities provided.

3 The information below evidences that I am of lawful age and legally competent to agree to, and sign this Agreement, and I have read and fully understand it, and knowingly and voluntarily sign it. Full Name: DOB: Age: Height: Weight: Address: City: State: Participant s Signature: Today s Date: For children under 18, parent/legal guardian s signature:

4 Horseback Riding Permission Slip Under Florida law, an equine activity sponsor or equine professional is not liable for any injury to, or death of, a participant in equine activities result from the inherent risk of equine activities. I have read the above statement and by signing below, I realize that I am riding at my own risk. Student Signature Parent Signature Date The following guidelines are for your own safety and comfort as you ride. Maximum rider weight 250 lbs No physical or mental limitations that would affect the rider s ability to control their horse. Pregnant guests are not permitted to ride. Jeans are suggested for comfort/closed shoes with hard soles that cover the entire foot are required. Minimum charge of $30 if no-show. Camp Kulaqua Details On Thursday morning dress in comfortable clothes you can wear for outdoor activities there will be no place to change before we begin our canoe trip. Boys may wear board shorts and T-shirts, and girls may wear bathing suits with shorts and shirts over them. (If girls plan on taking off their shirts to swim, the bathing suit must be a one piece or a tankini, where the top and bottom meet.)

5 Be sure to bring insect repellent and sunscreen. CLOSED-TOED SHOES MUST BE WORN AT ALL TIMES INCLUDING on the bus and in the lodges. It is suggested that you bring an old pair of tennis shoes for some activities. Watershoes are fine as long as they are closed in all the way around. You will need a pair of dry shoes when we are at camp. You may bring movies for the bus G or PG only. We would prefer that you do not bring electronic devices with you. You will not be able to use them in the cabins. The general rule is: don t bring anything that you would be upset losing. Meet the buses at 7:30 a.m. by the DAC. Your bags and bedding will be stored under the bus. Anything that you want to have before we get to the campsite must be with you ON THE BUS (towels, money for the rest stop, etc.). We will travel to High Springs (northwest of Gainesville), making one stop at the rest stop near Gainesville. You may purchase a snack then, so you should bring coins (sometimes the change machines don t work). After we arrive at camp we will break up into smaller groups for activities. Later, there will be evening activities as well dinner, hayride, bonfire, and s mores are just a few. Lights-out is at 11:00 p.m. All cabins have inside bathrooms and air conditioning, so no one will be outside his or her assigned cabin after lights-out. ABSOLUTELY no girls allowed in boys cabins or boys allowed in girls cabins. Friday morning we will eat breakfast, clean up our lodges, and load the buses that take us to the tubing site. Bring the water shoes to the State Park. You may put them on right before we get off the bus. We will tube down the Ichetucknee River, have a cook-out for lunch, change into our dry clothes, and head for home. Make sure you have a towel, dry clothes, and dry shoes to change into with you on the bus. Parents must be at school by 5:00 p.m. to meet the bus as we arrive. It is not OK to call your parents when we get back to the school they need to be there waiting for you.

Congratulations! A space has been reserved for you at the Odyssey Teams, Inc. Ropes Course. Be sure to come prepared by reading the following:

Congratulations! A space has been reserved for you at the Odyssey Teams, Inc. Ropes Course. Be sure to come prepared by reading the following: Congratulations! A space has been reserved for you at the Odyssey Teams, Inc. Ropes Course. Be sure to come prepared by reading the following: Odyssey Teams, Inc. 800-342-1650 www.odysseyteams.com 2277

More information

RAMS HILL RACQUET AND SWIM CLUB ASSUMPTION OF RISK AND RELEASE AGREEMENT

RAMS HILL RACQUET AND SWIM CLUB ASSUMPTION OF RISK AND RELEASE AGREEMENT RAMS HILL RACQUET AND SWIM CLUB ASSUMPTION OF RISK AND RELEASE AGREEMENT I, ("Member"), acknowledge that I have voluntarily applied for membership in the Rams Hill Racquet and Swim Club ("Club") at the

More information

PARENT AGREEMENT FOR USE OF THIRD-PARTY TRANSPORTATION SERVICE. Rules and Guidelines

PARENT AGREEMENT FOR USE OF THIRD-PARTY TRANSPORTATION SERVICE. Rules and Guidelines PARENT AGREEMENT FOR USE OF THIRD-PARTY TRANSPORTATION SERVICE Yeshiva Elementary, Inc. has arranged with a third-party vendor to provide bus transportation for students to and from Yeshiva Elementary

More information

Membership Application

Membership Application Membership Application Applicant: Name of Spouse: Home Address: Email: Business: Address: Sponsored By: Additional Reference: Applicant Signature: _ Date of Birth: Date of Birth: Home Tel: Home Fax: Cell

More information

First Presbyterian Church CAMP Friday, May 26 th Sunday, May 28 th We are planning to leave the Church by 4:30pm

First Presbyterian Church CAMP Friday, May 26 th Sunday, May 28 th We are planning to leave the Church by 4:30pm First Presbyterian Church CAMP 456 2017 Friday, May 26 th Sunday, May 28 th We are planning to leave the Church by 4:30pm Dear parents, This adventure camp is designed for older elementary students. All

More information

PARTICIPANT S REPRESENTATIONS, EXPRESS ASSUMPTION OF ALL RISKS & RELEASE OF LIABILITY AGREEMENT FOR OAK RIDGE HIGH SCHOOL PERFORMANCE TRAINING CENTER

PARTICIPANT S REPRESENTATIONS, EXPRESS ASSUMPTION OF ALL RISKS & RELEASE OF LIABILITY AGREEMENT FOR OAK RIDGE HIGH SCHOOL PERFORMANCE TRAINING CENTER Page 1 of 5 PARTICIPANT S REPRESENTATIONS, EXPRESS ASSUMPTION OF ALL RISKS & RELEASE OF LIABILITY AGREEMENT FOR OAK RIDGE HIGH SCHOOL PERFORMANCE TRAINING CENTER Purpose of This Binding Agreement By signing

More information

Diana Golden Race Maine Adaptive Sports & Recreation Sunday River, ME January 15, Race Schedule

Diana Golden Race Maine Adaptive Sports & Recreation Sunday River, ME January 15, Race Schedule Diana Golden Race Maine Adaptive Sports & Recreation Sunday River, ME January 15, 2018 Race Schedule Location 8:00 8:45 Race Registration Maine Adaptive 8 Sundance Ln, Newry 9:00-9:45 Course Inspection

More information

Champion Cheer All-Stars Inc., Falls City, Nebraska Waiver of Liability, Release, Indemnity, and Assumption of Risk Agreement Name of participant: In

Champion Cheer All-Stars Inc., Falls City, Nebraska Waiver of Liability, Release, Indemnity, and Assumption of Risk Agreement Name of participant: In Champion Cheer All-Stars Inc., Falls City, Nebraska Waiver of Liability, Release, Indemnity, and Assumption of Risk Agreement Name of participant: In consideration of the services of Champion Cheer All-Stars

More information

EQUESTRIAN CONNECTION ELEMENTARY/JUNIOR HIGH SOCIAL EVENT

EQUESTRIAN CONNECTION ELEMENTARY/JUNIOR HIGH SOCIAL EVENT EQUESTRIAN CONNECTION ELEMENTARY/JUNIOR HIGH SOCIAL EVENT Join us for horseback riding, grooming, art activities and games, and a pizza dinner! Friday, May 19, 2017 3:00 p.m. 6:45 p.m. Students will take

More information

Youth Police Academy C/O: Clare Police Department 207 W. Fifth Street Clare, MI (989) Membership Application 2017

Youth Police Academy C/O: Clare Police Department 207 W. Fifth Street Clare, MI (989) Membership Application 2017 Youth Police Academy C/O: Clare Police Department Membership Application 2017 07-10-2017 07-20-2017 Monday - Thursday for 2 weeks 8am - 4pm $15 Non Refundable Application Fee Required (Cash Preferred -

More information

~LOTUS GUNWORKS OF SOUTH FLORIDA, LLC~ RELEASE, WAIVER, INDEMNIFICATION, HOLD HARMLESS, AND ASSUMPTION OF THE RISK AGREEMENT

~LOTUS GUNWORKS OF SOUTH FLORIDA, LLC~ RELEASE, WAIVER, INDEMNIFICATION, HOLD HARMLESS, AND ASSUMPTION OF THE RISK AGREEMENT ~LOTUS GUNWORKS OF SOUTH FLORIDA, LLC~ RELEASE, WAIVER, INDEMNIFICATION, HOLD HARMLESS, AND ASSUMPTION OF THE RISK AGREEMENT WHEREAS, in return for being allowed to enter Lotus Gunworks, Lotus Gun Range

More information

Registration Form. Our Lady of Guadalupe High School Retreat. February 23 25, 2018 Camp Zephyr, Sandia, TX Cost: $140.00

Registration Form. Our Lady of Guadalupe High School Retreat. February 23 25, 2018 Camp Zephyr, Sandia, TX Cost: $140.00 Registration Form Our Lady of Guadalupe High School Retreat February 23 25, 2018 Camp Zephyr, Sandia, TX Cost: $140.00 For Office Use Only Paid: YES NO Cash Check ($140.00 covers roundtrip bus transportation

More information

ASSUMPTION OF RISK, RELEASE AND LIABILITY WAIVER

ASSUMPTION OF RISK, RELEASE AND LIABILITY WAIVER ASSUMPTION OF RISK, RELEASE AND LIABILITY WAIVER This Event may involve serious risk of injury. I understand that by signing this form, I am giving up the right to sue if I am injured while participating

More information

Oklahoma City University Travel Waiver and Release Agreement

Oklahoma City University Travel Waiver and Release Agreement Oklahoma City University Travel Waiver and Release Agreement Introduction: Oklahoma City University allows employees and students to participate in activities that may involve or require travel outside

More information

early registration ends September 4

early registration ends September 4 Greenwood village kids triathlon Sunday, September 16 Beginning 8:30am ages 5-16 early registration ends September 4 win new p.e. equipment for your school! Prizes sponsored by Greenwood Pediatrics for

More information

Chamber Bed Race Rules

Chamber Bed Race Rules Chamber Bed Race Rules We know you hate it but we have to have them! Bed Design Beds must measure at least 3 feet wide by 6 feet long, but no more than 6 feet wide by 8 feet long handles included. (This

More information

WAIVER OF LIABILITY, ASSUMPTION OF ALL RISKS, AND ARBITRATION AGREEMENT

WAIVER OF LIABILITY, ASSUMPTION OF ALL RISKS, AND ARBITRATION AGREEMENT WAIVER OF LIABILITY, ASSUMPTION OF ALL RISKS, AND ARBITRATION AGREEMENT In consideration of the services of Outfitter Bicycle Tours, its agents, shareholders, subsidiaries, affiliates, directors, successors,

More information

2017 Multi-Jurisdictional Law Enforcement Explorer Academy

2017 Multi-Jurisdictional Law Enforcement Explorer Academy 2017 Multi-Jurisdictional Law Enforcement Explorer Academy All questions must be answered. If something does not apply please indicate N/A. Note: If there are any un-answered questions on this application

More information

WINTER CARNIVAL 2018, March 3 CARDBOARD CLASSIC Theme: SUPERHEROES

WINTER CARNIVAL 2018, March 3 CARDBOARD CLASSIC Theme: SUPERHEROES WINTER CARNIVAL 2018, March 3 CARDBOARD CLASSIC Theme: SUPERHEROES Nearly $1000 dollars in cash and prizes! Please read all rules carefully. They will be strictly enforced. The safety of all participants,

More information

1 P a g e. Registration. Registered Name of Horse. Pet Name & Age of Horse. Coat Color/Mare or Gelding. Sire and Dam. Name of Horse Owner

1 P a g e. Registration. Registered Name of Horse. Pet Name & Age of Horse. Coat Color/Mare or Gelding. Sire and Dam. Name of Horse Owner Santa Elena Foundation / Carolina Marsh Tacky Association 2017 Lowcountry Fair with Historical Flair Registration November 18, 2017 Cotton Hall Plantation, Northern Beaufort, SC Two events are available

More information

Client Information. Doggie Information

Client Information. Doggie Information Client Information Client (Person) Name: Emergency contact(s) & numbers: Street Address: City, State, Zip: Phone1: Phone2: Phone3: Email: Alternate contacts: Who is authorized to pick up/drop off your

More information

Morning Star Farm Participant Emergency Contact Information

Morning Star Farm Participant Emergency Contact Information Morning Star Farm Participant Emergency Contact Information Name Address City State Zip E-Mail Age Birth Date Height Weight (max. weight 200 lbs.) Sex: M / F Home Phone Work Phone Cell Phone Mom Cell Phone

More information

San Antonio Neighbors

San Antonio Neighbors San Antonio Neighbors 2017 Youth Mission Camp "Recognize that our neighbor is someone as worthy of God's love as I" "Being Jesus" Rejoicing and Sharing God's Love with the World John 3:16-18/2 Corinthians

More information

Minor Waiver (Paper and Electronic) HFAC Water Activities Version 5/14

Minor Waiver (Paper and Electronic) HFAC Water Activities Version 5/14 MINORS UNDER THE AGE OF 18 RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT FOR HARPERS FERRY ADVENTURE CENTER INC WATER ACTIVITIES *Only the Parent or Court-Appointed Legal

More information

FITNESS CENTER LICENSE AGREEMENT

FITNESS CENTER LICENSE AGREEMENT FITNESS CENTER LICENSE AGREEMENT THIS FITNESS CENTER LICENSE AGREEMENT (the Agreement ), dated as of the date set forth below, is between HCG BLOCK 69 LLC ( Licensor ) and the undersigned ( Licensee ).

More information

Tallcedarsfarm.org Rocky Ridge Road Glen Allen VA 23059

Tallcedarsfarm.org Rocky Ridge Road Glen Allen VA 23059 20 Tallcedarsfarm.org 11353 Rocky Ridge Road Glen Allen VA 23059 Rider s Name Age Date of Birth Male or Female Weight Height Date of Most Recent Physical Examination Riding Experience Style of Riding Parents

More information

WELCOME TO THE Y! TORRANCE SOUTH BAY YMCA ADULT #1 EMERGENCY CONTACT. How did you hear about the. Were you referred by a current member?

WELCOME TO THE Y! TORRANCE SOUTH BAY YMCA ADULT #1 EMERGENCY CONTACT. How did you hear about the. Were you referred by a current member? WELCOME TO THE Y! TORRANCE SOUTH BAY YMCA ADULT #1 Address Apt City State Zip Code Email ADULT #2 Phone Number Email DEPENDENTS (17 years old and younger) Phone Number EMERGENCY CONTACT Name Relation to

More information

POLE VAULT ELITE WAIVER

POLE VAULT ELITE WAIVER In consideration of the services of POLE VAULT ELITE, I hereby agree to release, indemnify, and discharge POLE VAULT ELITE, on behalf of myself, the minor(s) for whom I sign (hereinafter referred to as

More information

Giraffes Grades 2nd-3rd. Elephants Grades 3rd-4th

Giraffes Grades 2nd-3rd. Elephants Grades 3rd-4th Resident Non-Resident Warthogs Grades K-1st Giraffes Grades 2nd-3rd Elephants Grades 3rd-4th Lions Grades 4th-5th Teen extreme Grades 6 th -9 th CITY OF SEMINOLE HOLLAND G. MANGUM RECREATION COMPLEX CHILD

More information

Southeast Schooling Show Championships Chattahoochee Hills October 7 th and 8 th

Southeast Schooling Show Championships Chattahoochee Hills October 7 th and 8 th Opening Date: August 15, 2017 Closing Date: September 18th, 2017 Southeast Schooling Show Championships Chattahoochee Hills October 7 th and 8 th Show: 10045 Cedar Grove Road, Chattahoochee Hills, GA 30213

More information

RELEASE, WAIVER, HOLD HARMLESS, AND INDEMNIFICATION AGREEMENT

RELEASE, WAIVER, HOLD HARMLESS, AND INDEMNIFICATION AGREEMENT RELEASE, WAIVER, HOLD HARMLESS, AND INDEMNIFICATION AGREEMENT Name: Address: Phone: ( ) Email: EMERGENCY CONTACT Name: Phone: ( ) Email: WARNING Under North Carolina law, an equine activity sponsor or

More information

OFFICIAL ENTRY FORM ENTRY FEE: $250 / DEADLINE FRIDAY, SEPTEMBER 7 / 5PM PST. Estimated Competition Weight: Height: Age:

OFFICIAL ENTRY FORM ENTRY FEE: $250 / DEADLINE FRIDAY, SEPTEMBER 7 / 5PM PST. Estimated Competition Weight: Height: Age: OFFICIAL ENTRY FORM ENTRY FEE: $250 / DEADLINE FRIDAY, SEPTEMBER 7 / 5PM PST PERSONAL INFORMATION Full Legal Name: E-Mail Address: Mailing Address: City: State: Zip: Day Phone: Cell Phone: Estimated Competition

More information

RIGHT TO USE AGREEMENT 2019

RIGHT TO USE AGREEMENT 2019 RIGHT TO USE AGREEMENT 2019 This right to use Agreement ("Agreement") is made and entered into by and between: [Hereinafter referred to as "Member"] and Kodiak Ski Lake, LLC [hereinafter referred to as

More information

Camp Whip Poor Will Adventure Day July 22, :00 a.m. 3:00 p.m.

Camp Whip Poor Will Adventure Day July 22, :00 a.m. 3:00 p.m. Camp Whip Poor Will Adventure Day July 22, 2017 10:00 a.m. 3:00 p.m. We are delighted that you and your camper will be joining us for Adventure Day at Camp Whip Poor Will. Your safety and welfare are always

More information

RANGE RULES BE SMART. SHOOT SAFE. HAVE FUN. INDOOR SHOOTING RANGE TRAINING SALES. Signature: Date:

RANGE RULES BE SMART. SHOOT SAFE. HAVE FUN. INDOOR SHOOTING RANGE TRAINING SALES. Signature: Date: BE SMART. SHOOT SAFE. HAVE FUN. RANGE RULES 1. All firearms brought onto premises must be either unloaded in a gun case or holder or, if loaded, in a holster. Rocky Mountain Gun Club, LLC reserves the

More information

SIGNATURE ! Staff and Experienced Jumpers only!

SIGNATURE ! Staff and Experienced Jumpers only! 1 PLEASE PRINT CLEARLY Date First Name Last Name Occupation Employer Home Phone( ) Cell Phone ( ) Address City State Zip Code Country E-Mail Address Date of Birth Height Weight (lbs.) Emergency Contact

More information

Contact: Mailing Address: 4275 W. Rosted Rd. Lake City, MI.

Contact: Mailing Address: 4275 W. Rosted Rd. Lake City, MI. Zombie Survival Training A test of skill, endurance, preparation and mind set. Saturday 24 May 2014 Fee: Preregister: $75 Non Member / $60 Member o Price includes T-shirt for those who preregister before

More information

2018 Jr. Celtics Two-day Winter Break Clinic Registration Form

2018 Jr. Celtics Two-day Winter Break Clinic Registration Form 2018 Jr. Celtics Two-day Winter Break Clinic Registration Form For more information call 617-399-8432 or email Sam at: jrceltics@celtics.com When: Thursday, December 27, 2018 Friday, December 28, 2018

More information

Parental Consent. Before a student under age 18 can make a tandem skydive we will need the following information:

Parental Consent. Before a student under age 18 can make a tandem skydive we will need the following information: Parental Consent Skydive Canyonlands is excited to now offer students 16 years of age and older the chance to do a tandem skydive. We do need a few more items of consent before we can take students under

More information

VOLUNTEER ASSUMPTION OF RISK, RELEASE OF LIABILITY AND INDEMNITY AGREEMENT FOR: SECOND HARVEST FOOD BANK OF ORANGE COUNTY, INC.

VOLUNTEER ASSUMPTION OF RISK, RELEASE OF LIABILITY AND INDEMNITY AGREEMENT FOR: SECOND HARVEST FOOD BANK OF ORANGE COUNTY, INC. VOLUNTEER ASSUMPTION OF RISK, RELEASE OF LIABILITY AND INDEMNITY AGREEMENT FOR: SECOND HARVEST FOOD BANK OF ORANGE COUNTY, INC. Orange County Harvest 8014 Marine Way, Irvine, CA 92618 (949) 653-2900 Adult

More information

VOLUNTEER ASSUMPTION OF RISK, RELEASE OF LIABILITY AND INDEMNITY AGREEMENT FOR: SECOND HARVEST FOOD BANK OF ORANGE COUNTY, INC.

VOLUNTEER ASSUMPTION OF RISK, RELEASE OF LIABILITY AND INDEMNITY AGREEMENT FOR: SECOND HARVEST FOOD BANK OF ORANGE COUNTY, INC. VOLUNTEER ASSUMPTION OF RISK, RELEASE OF LIABILITY AND INDEMNITY AGREEMENT FOR: SECOND HARVEST FOOD BANK OF ORANGE COUNTY, INC. Orange County Harvest 8014 Marine Way, Irvine, CA 92618 (949) 653-2900 Adult

More information

WAIVER AND RELEASE, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT PLEASE READ THE FOLLOWING CAREFULLY AS IT AFFECTS YOUR FUTURE LEGAL RIGHTS.

WAIVER AND RELEASE, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT PLEASE READ THE FOLLOWING CAREFULLY AS IT AFFECTS YOUR FUTURE LEGAL RIGHTS. Hosted by: Nauticus WAIVER AND RELEASE, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT PLEASE READ THE FOLLOWING CAREFULLY AS IT AFFECTS YOUR FUTURE LEGAL RIGHTS. WAIVER AND RELEASE In consideration for receiving

More information

Avantiplus Cairns Pty Ltd as trustee for Avantiplus Cairns Trust PARTICIPANT'S ACKNOWLEDGEMENT OF RISK FORM INCLUDING WAIVER, RELEASE & INDEMNITY

Avantiplus Cairns Pty Ltd as trustee for Avantiplus Cairns Trust PARTICIPANT'S ACKNOWLEDGEMENT OF RISK FORM INCLUDING WAIVER, RELEASE & INDEMNITY Avantiplus Cairns Pty Ltd as trustee for Avantiplus Cairns Trust PARTICIPANT'S ACKNOWLEDGEMENT OF RISK FORM INCLUDING WAIVER, RELEASE & INDEMNITY Activity: Weekly Shop Ride A group bicycle ride which is

More information

Rider #1 Name Civic P.O. Province Postal Code Phone

Rider #1 Name Civic P.O. Province Postal Code Phone Horse s Name Horse License # Passport Number Performance Hunter 3 3.3 Pre Green Year 1 st. 2 nd. Green Year 1 st. 2 nd, RING # Owner Name Rider #1 Name Rider #2 Name Owner EC # AO or JR Rider 1 EC # AO

More information

ATV Tour, Waiver and Indemnity Agreement

ATV Tour, Waiver and Indemnity Agreement ATV Tour, Waiver and Indemnity Agreement THIS AGREEMENT made effective as of the day of, 2016. BETWEEN: OUTSY WIDERNESS ADVENTURES INC also known as OUTSY.CA., a Name: Address: Age Driver s License corporation

More information

DAZZLE AFRICA RELEASE OF LIABILITY, INDEMNITY, AND AGREEMENT

DAZZLE AFRICA RELEASE OF LIABILITY, INDEMNITY, AND AGREEMENT DAZZLE AFRICA RELEASE OF LIABILITY, INDEMNITY, AND AGREEMENT This Release of Liability, Indemnity, and Agreement (the Agreement ) is entered into by and between the parties described in the next two paragraphs:

More information

REGISTRATION CHECK LIST & POLICIES

REGISTRATION CHECK LIST & POLICIES REGISTRATION CHECK LIST & POLICIES Online Registration: Register the number of students and adults that will come to camp. A $50 nonrefundable deposit is due per person. Registration Rates: Until March

More information

HEALTH INFORMATION AND CONSENT FOR EMERGENCY MEDICAL TREATMENT FORM. Program Attending: Date of Program: Name of Student or Minor Child: Birth Date:

HEALTH INFORMATION AND CONSENT FOR EMERGENCY MEDICAL TREATMENT FORM. Program Attending: Date of Program: Name of Student or Minor Child: Birth Date: University of Northern Iowa Expanding Your Horizons In Science and Mathematics Conference 10/13/2018 Industrial Technology Campus HEALTH INFORMATION AND CONSENT FOR EMERGENCY MEDICAL TREATMENT FORM Program

More information

WAYBOTS USER AGREEMENT

WAYBOTS USER AGREEMENT WAYBOTS USER AGREEMENT Last Revised: March 27, 2018 Welcome to Waybots, provided by Waybots, Inc. ( Waybots, we, our, or us )! The Services we provide (defined below) are made available to You ( User or

More information

I, the Volunteer, hereby freely, voluntarily and without duress execute this Release under the following terms:

I, the Volunteer, hereby freely, voluntarily and without duress execute this Release under the following terms: Volunteer Agreement, Release and Waiver of Liability Updated February 2017 PLEASE READ CAREFULLY! THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR LEGAL RIGHTS! This Release and Waiver of Liability (the Release

More information

LIABILITY WAIVER FORM Sea Kayaking in the Polar Regions

LIABILITY WAIVER FORM Sea Kayaking in the Polar Regions LIABILITY WAIVER FORM Sea Kayaking in the Polar Regions To be completed by participants in Sea Kayaking program onboard the G Expedition. PLEASE COMPLETE AND SIGN THIS FORM AND RETURN TO MS ADVENTURES

More information

I understand and confirm that I meet the above requirements. ( ) [Please INITIAL when read, acknowledged and agreed.]

I understand and confirm that I meet the above requirements. ( ) [Please INITIAL when read, acknowledged and agreed.] RS#: JR#: Height: Weight: BMI: FIRST NAME: LAST NAME: RELEASE OF LIABILITY AND AGREEMENT NOT TO SUE Requirements: Age at least 18 years old; medical statement is required for 60 and 60+ years old tandem

More information

2015 BALTIMORE RAVENS PLAYMAKERS APPLICATION

2015 BALTIMORE RAVENS PLAYMAKERS APPLICATION CHECK # PRELIMINARY # LAST LAST FIRST OFFICE USE ONLY OFFICE USE ONLY FIRST 2015 BALTIMORE RAVENS PLAYMAKERS APPLICATION IN ORDER TO PROCESS YOUR APPLICATION WE NEED THIS INFORMATION FROM YOU: 1. A $30.00

More information

C ITY OF C H A R L O T T E S V I L L E

C ITY OF C H A R L O T T E S V I L L E C ITY OF C H A R L O T T E S V I L L E Ride-Along Program Guidelines I. You will be in the public eye and should understand that your behavior and dress reflect upon the Charlottesville ; therefore appropriate

More information

ADULT RELEASE FORM To be signed by Adult traveling with the Group Please print the following information: GROUP NAME: ADULT S NAME:

ADULT RELEASE FORM To be signed by Adult traveling with the Group Please print the following information: GROUP NAME: ADULT S NAME: ADULT RELEASE FORM To be signed by Adult traveling with the Group Please print the following information: GROUP NAME: ADULT S NAME: IMPORTANT! READ CAREFULLY TERMS, CONDITIONS & BINDING ARBITRATION I,

More information

RELEASE AND INDEMNIFICATION AGREEMENTS (Adult)

RELEASE AND INDEMNIFICATION AGREEMENTS (Adult) RELEASE AND INDEMNIFICATION AGREEMENTS (Adult) THIS CONSENT, RELEASE, AND INDEMNIFICATION AGREEMENT ( Release ) is entered into by the undersigned in favor of Heritage Park LLC and Indian Valley Stables

More information

The AMA and Minors. To summarize- to sign a minor up you will need either-

The AMA and Minors. To summarize- to sign a minor up you will need either- The AMA and Minors In any AMA event, anywhere in the US, and in any discipline, if the rider is under the age of majority, which in California is 18, that rider cannot enter any AMA race all by him/herself,

More information

RELEASE AND INDEMNIFICATFION AGREEMENTS (Minor)

RELEASE AND INDEMNIFICATFION AGREEMENTS (Minor) RELEASE AND INDEMNIFICATFION AGREEMENTS (Minor) THIS CONSENT, RELEASE, AND INDEMNIFICATION AGREEMENT ( Release ) is entered into by the undersigned in favor of Heritage Park LLC and Indian Valley Stables

More information

Medical and Liability Release Form 2018

Medical and Liability Release Form 2018 Please Print Clearly Medical and Liability Release Form 2018 Name: Today s Date: Birthday: Age: Current Grade: Address: City: State: Zip Code: Parent/Guardian: Phone: Parent Email: Emergency Contact: Relationship

More information

Swimming Classes. REGISTRATION DEADLINE: June 15, 2018

Swimming Classes. REGISTRATION DEADLINE: June 15, 2018 Swimming Classes Sunshine School will partner with Milpitas Star Aquatics to host swim lessons for students in Grades 1 12. Swimming classes will be held in an indoor facility at 1818 Clear Lake Avenue,

More information

Release and Waiver of Liability

Release and Waiver of Liability Release and Waiver of Liability PLEASE READ CAREFULLY! THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR LEGAL RIGHTS! This Release and Waiver of Liability (the Release ) is executed on this day of, 20, by, (the

More information

PURCHASES REFUNDS. LOST BADGE or ITEMS WAIVER / ASSUMPTION OF RISK / RELEASE OF LIABILITY. Terms of Service

PURCHASES REFUNDS. LOST BADGE or ITEMS WAIVER / ASSUMPTION OF RISK / RELEASE OF LIABILITY. Terms of Service Terms of Service All participants in KCGameOn LLC's ("KCGameOn") event ("convention") held June 10, 2017, July 29, 2017, October 7, 2017, and December 1-3, 2017 in Kansas City, MO, are required to, and

More information

EXEMPTION AND RELEASE FROM LIABILITY

EXEMPTION AND RELEASE FROM LIABILITY PACIFIC NORTHWEST SKYDIVING CENTER, LLC SKYDIVING AGREEMENT THIS IS AN IMPORTANT LEGAL DOCUMENT. BY SIGNING IT, YOU ARE GIVING UP CERTAIN LEGAL RIGHTS PLEASE READ IT CAREFULLY In consideration of Pacific

More information

GET SUMMER TEEN CODE OF CONDUCT

GET SUMMER TEEN CODE OF CONDUCT GET SUMMER TEEN CODE OF CONDUCT The YMCA of Metropolitan Los Angeles is committed to providing a safe and welcoming environment for all members, participants and guests. To promote safety and comfort for

More information

Registration Form Please Check: Boy Girl Age: Camper s Name: Address: City: State: Zip Code:

Registration Form Please Check: Boy Girl Age: Camper s Name: Address: City: State: Zip Code: Registration Form Please Check: Boy Girl Age: Camper s Name: Address: City: State: Zip Code: Contact Name: Emergency Contact Number: Alt. Emergency Contact Number: E-Mail Address: Alt. Contact Name: Check

More information

TEAM ONALYSIS Hosts A USATF Sanctioned Cross Country Meet at Golden Gate Park, Polo Fields in San Francisco Sunday, October 28, 2018

TEAM ONALYSIS Hosts A USATF Sanctioned Cross Country Meet at Golden Gate Park, Polo Fields in San Francisco Sunday, October 28, 2018 TEAM ONALYSIS Hosts A USATF Sanctioned Cross Country Meet at Golden Gate Park, Polo Fields in San Francisco Sunday, October 28, 2018 Schedule: 8:00 am 9:00 am Registration 9:00 am Course Walk 10:00 am

More information

PARTICIPANT APPLICATION & RELEASE WEIGHT LOSS SHOW

PARTICIPANT APPLICATION & RELEASE WEIGHT LOSS SHOW PARTICIPANT APPLICATION & RELEASE WEIGHT LOSS SHOW 1. Please fill out this application and release ( Application and Release ) legibly. 2. Use dark colored ink. 3. Answer all questions honestly and to

More information

2018 BALTIMORE RAVENS CHEERLEADER APPLICATION

2018 BALTIMORE RAVENS CHEERLEADER APPLICATION PRELIMINARY # OFFICE USE ONLY 2 ND ROUND # LAST FIRST 2018 BALTIMORE RAVENS CHEERLEADER APPLICATION IN ORDER TO PROCESS YOUR APPLICATION WE NEED THIS INFORMATION FROM YOU: 1. A $25.00 check or money order

More information

OWNER'S NAME HORSES NAME MAILING ADDRESS PROVINCE POSTAL CODE PHONE NUMBER ARE YOU AN NSEF PROV CHAMP ENTRY CIRCLE YES OR NO

OWNER'S NAME HORSES NAME MAILING ADDRESS PROVINCE POSTAL CODE PHONE NUMBER  ARE YOU AN NSEF PROV CHAMP ENTRY CIRCLE YES OR NO 2018 HANTS COUNTY EXHIBITION -- LIGHT HORSE ENTRY FORM - A SEPARATE ENTRY FORM IS TO BE USED FOREACH HORSE/PONY ENTERED MAIL ENTRIES TO: HANTS COUNTY EXHIBITION, P.O. BOX 368, WINDSOR, N.S. OR FAX 902-798-2999

More information

SACRED. Transformations. Application for Tattoo Transformation Program

SACRED. Transformations. Application for Tattoo Transformation Program Application for Tattoo Transformation Program Personal Information Name: Address: City: State: Zip Code: Phone: Email: Age: Date of Birth: / / Primary Language: Secondary language: Emergency Contact Information:

More information

BRIDIE McCANN MEMORIAL RACE 1K OPEN WATER SWIM Sunday, August 10, 2014

BRIDIE McCANN MEMORIAL RACE 1K OPEN WATER SWIM Sunday, August 10, 2014 BRIDIE McCANN MEMORIAL RACE 1K OPEN WATER SWIM Sunday, August 10, 2014 When: 11:00 am 12:00 pm Check-in & numbering 12:30 pm Pre-race meeting* 1:00 pm Race starts *Note: The pre-race meeting is mandatory

More information

Instructions for Completing Waivers

Instructions for Completing Waivers Instructions for Completing Waivers 1) Print out all four (4) forms attached. 2) All 4 forms must be filled in COMPLETELY. If forms are not completed and signed properly your minor child will not be allowed

More information

GRACIE GARAGE PARTICIPANT ASSUMPTION OF RISK, CONSENT TO PARTICIPATION, WAIVER OF LIABILITY AND RELEASE OF CLAIMS, AND INDEMNIFICATION AGREEMENT

GRACIE GARAGE PARTICIPANT ASSUMPTION OF RISK, CONSENT TO PARTICIPATION, WAIVER OF LIABILITY AND RELEASE OF CLAIMS, AND INDEMNIFICATION AGREEMENT GRACIE GARAGE PARTICIPANT ASSUMPTION OF RISK, CONSENT TO PARTICIPATION, WAIVER OF LIABILITY AND RELEASE OF CLAIMS, AND INDEMNIFICATION AGREEMENT READ BEFORE SIGNING In consideration of you being permitted

More information

REGISTRATION CHECKLIST

REGISTRATION CHECKLIST REGISTRATION CHECKLIST June 17-21 Northern Virginia Online Registration: Register the number of students and adults that will come to camp. A $300 non-refundable deposit is due per church to cover ministry

More information

Camp Pump It Up Registration Form

Camp Pump It Up Registration Form Camp Pump It Up Registration Form Parent/Guardian Name: Child s name: Birth Date: Child s name: Birth Date: Child s name: Birth Date: Email Address: Address: Other adults authorized for pick up: Best phone

More information

2017 BALTIMORE RAVENS CHEERLEADER APPLICATION

2017 BALTIMORE RAVENS CHEERLEADER APPLICATION PRELIMINARY # OFFICE USE ONLY 2 ND ROUND # LAST FIRST 2017 BALTIMORE RAVENS CHEERLEADER APPLICATION IN ORDER TO PROCESS YOUR APPLICATION WE NEED THIS INFORMATION FROM YOU: 1. A $25.00 check or money order

More information

THE UNINSURED UNITED PARACHUTE TECHNOLOGIES, INC. d/b/a UNITED PARACHUTE TECHNOLOGIES PURCHASE, USE, RELEASE AND INDEMNIFICATION AGREEMENT

THE UNINSURED UNITED PARACHUTE TECHNOLOGIES, INC. d/b/a UNITED PARACHUTE TECHNOLOGIES PURCHASE, USE, RELEASE AND INDEMNIFICATION AGREEMENT END USER AGREEMENT THE UNINSURED UNITED PARACHUTE TECHNOLOGIES, INC. d/b/a UNITED PARACHUTE TECHNOLOGIES PURCHASE, USE, RELEASE AND INDEMNIFICATION AGREEMENT In consideration of the Uninsured United Parachute

More information

ACE of Birmingham Quarter-Year Handbook: 2019 Spring Season

ACE of Birmingham Quarter-Year Handbook: 2019 Spring Season ACE of Birmingham Quarter-Year Handbook: 2019 Spring Season ACE Cheer Company, LLC, strives to help each team member reach or exceed their potential as a competitive cheerleader and as a person. Our program

More information

SEAGOVILLE POLICE DEPARTMENT Citizen Observer Instructions and Rules

SEAGOVILLE POLICE DEPARTMENT Citizen Observer Instructions and Rules Citizen Observer Instructions and Rules The Seagoville Police Department welcomes you to ride, as an observer, with one of our officers. As a professional law enforcement organization, we constantly strive

More information

GENERAL APPEARANCE RELEASE FORM

GENERAL APPEARANCE RELEASE FORM GENERAL APPEARANCE RELEASE FORM THIS IS A LEGAL DOCUMENT AFFECTING YOUR RIGHTS AND RESPONSIBILITIES PLEASE READ IT CAREFULLY BEFORE SIGNING Various TV shows & website postings/displays (the Program ) In

More information

Jack Frost Skiing. February 21, 2016

Jack Frost Skiing. February 21, 2016 Jack Frost Skiing February 21, 2016 Summary: We will travel by deluxe motor coach to Jack Frost / Big Boulder Ski Resort for a day of skiing and snowboarding. We re getting a Scout Day group rate, which

More information

Candidate Pack. RBNY Training Facility, NJ

Candidate Pack. RBNY Training Facility, NJ Candidate Pack RBNY Training Facility, NJ Dear Candidate, You are confirmed for the New York Red Bull s interview day at the New York Red Bulls Training Facility, New Jersey. Please read the attached information

More information

PORT LAVACA POLICE DEPARTMENT Citizen Observer Instructions and Rules

PORT LAVACA POLICE DEPARTMENT Citizen Observer Instructions and Rules Citizen Observer Instructions and Rules The Port Lavaca Police Department welcomes you to ride, as an observer, with one of our officers. As a professional law enforcement organization, we constantly strive

More information

Evolution Volleyball 2017 Player Contract

Evolution Volleyball 2017 Player Contract Evolution Volleyball Academy L.L.C. (Evolution) is organized to encourage participation and create a healthy environment for learning volleyball. This binding contract states the obligations of the athletes,

More information

Calgary Police Cadet Corps Application

Calgary Police Cadet Corps Application Calgary Police Cadet Corps Application Fostering leadership abilities, cultural tolerance and career development among Calgary s youth. Members of the Corps will define the potential and competence of

More information

A FUN night with Movies, Laser Tag, Pizza, Dodge Ball, Blacklights, Glow-in-the-Dark, and More!

A FUN night with Movies, Laser Tag, Pizza, Dodge Ball, Blacklights, Glow-in-the-Dark, and More! Lock In: 2019 A FUN night with Movies, Laser Tag, Pizza, Dodge Ball, Blacklights, Glow-in-the-Dark, and More! When: Friday, January 18 @ 7:00pm - Saturday, January 19 @ pickup at 7am Cost: $10 if you pre-register

More information

Last Bride Standing Contestant Application A division of Long Valley Productions, Inc.

Last Bride Standing Contestant Application A division of Long Valley Productions, Inc. Last Bride Standing Contestant Application A division of Long Valley Productions, Inc. Fax to (905) 266.2151 or email it to inquiry@longvalleyproductions.com Please attach a copy of your valid I.D. 1.

More information

Registration Form Please Check: Boy Girl Age: Camper s Name: Address: City: State: Zip Code:

Registration Form Please Check: Boy Girl Age: Camper s Name: Address: City: State: Zip Code: Registration Form Please Check: Boy Girl Age: Camper s Name: Address: City: State: Zip Code: Contact Name: Emergency Contact Number: Alt. Emergency Contact Number: E-Mail Address: Signature: Alt. Contact

More information

Cranston Parks & Recreation Playground Program

Cranston Parks & Recreation Playground Program Cranston Parks & Recreation Playground Program Please print clearly! *FOR OFFICE USE ONLY* School & Age Check # Birth Certificate Proof of Residency Health Insurance Child s Name Age Address City Zip Code

More information

Student Name: Student Phone: Birthday: \ \ Physical Address: Mailing Address: Primary Parent/Guardian:

Student Name: Student Phone: Birthday: \ \  Physical Address: Mailing Address: Primary Parent/Guardian: Z.O.O. Crew Registration Form Registration Deadline: Friday, January 25 th, 2019; Z.O.O. Crew Start Date: Monday, February 4 th, 2019 Limit 30 participants per semester; registrations are first come, first

More information

Forsyth County Sheriff s Office Sheriff Ron H. Freeman Teen Interception Program

Forsyth County Sheriff s Office Sheriff Ron H. Freeman Teen Interception Program Sheriff Ron H. Freeman APPLICATION FOR ENROLLMENT Non-Mandated Teens Applicant s Name Parent s/legal Guardian s Name Address City, State, and Zip Code Date of Application REV 01/12/15 Page 1 of 7 How to

More information

Black Oak Stables, Inc.

Black Oak Stables, Inc. ARENA USE AGREEMENT 1. INTRODUCTION 1.1. This Agreement is made as of this day of 20 by and between Black Oak Stables, Inc., a Massachusetts corporation with a principal place of business at Winthrop Street,

More information

JOINT USE AGREEMENT REGARDING COMMUNITY USE OF PRIORY ATHLETIC FACILTIIES

JOINT USE AGREEMENT REGARDING COMMUNITY USE OF PRIORY ATHLETIC FACILTIIES JOINT USE AGREEMENT REGARDING COMMUNITY USE OF PRIORY ATHLETIC FACILTIIES This Joint Use Agreement ( Agreement ) is entered into by and between the Town of Portola Valley, a municipal corporation of the

More information

2017 U14 Eastern Championships All information subject to change

2017 U14 Eastern Championships All information subject to change LOCATION: Sunday River, Maine For directions go to web address www.sundayriver.com SCHEDULE: Registration March 15, 2017 4PM-6:30PM at Grand Summit Hotel- Simmonds 7PM Team Captains Meeting at Gould Academy

More information

Name: Date of Birth / / Female Male Mailing Address: City: State: Zip Code: County: Telephone: Home: ( ) Work: ( ) Cell: ( ) Fax: ( ) Address:

Name: Date of Birth / / Female Male Mailing Address: City: State: Zip Code: County: Telephone: Home: ( ) Work: ( ) Cell: ( ) Fax: ( )  Address: C H A P S Center For Horsemanship And Personal Success 4952 South Sanford Avenue, Sanford, Florida 32773 VOLUNTEER APPLICATION PACKET Please answer every item Name: of Birth / / Female Male Mailing Address:

More information

Plante s Ferry Park Application and Usage Agreement For Non-Tournament Activities June 1 st May 31 st 2019

Plante s Ferry Park Application and Usage Agreement For Non-Tournament Activities June 1 st May 31 st 2019 Plante s Ferry Park Application and Usage Agreement For Non-Tournament Activities June 1 st 2018 - May 31 st 2019 I. APPLICATION Name of Applicant/Organization: (Hereinafter referred to as "User") Contact

More information

SECTION 15 CHILDREN S ART DRAWING IN PEN, PENCIL, COLOUR PENCIL, CRAYON OR PAINT

SECTION 15 CHILDREN S ART DRAWING IN PEN, PENCIL, COLOUR PENCIL, CRAYON OR PAINT SECTION 15 CHILDREN S ART DRAWING IN PEN, PENCIL, COLOUR PENCIL, CRAYON OR PAINT VENUE: The Federation Pavilion, Castle Hill Showground. ENTRY FORMS AND PAYMENT DUE: Friday 2nd March 2018 By mail: Castle

More information

Indemnity Form. : (Home) (Office) (Mobile) 1. Are you currently under doctor s supervision? YES / NO*

Indemnity Form. : (Home) (Office) (Mobile) 1. Are you currently under doctor s supervision? YES / NO* 1 Indemnity Form Full name Chinese name (if applicable) NRIC No. / Passport No. Phone Numbers : (Home) (Office) (Mobile) Address Date of Birth/ Age (as of 1/1/17) Occupation Marital status Please answer

More information

Candidate Pack. RBNY Training Facility, NJ

Candidate Pack. RBNY Training Facility, NJ Candidate Pack RBNY Training Facility, NJ Dear Candidate, You are confirmed for the New York Red Bull s interview day at the New York Red Bulls Training Facility, New Jersey. Please read the attached information

More information

R.A. ' ~ ,.r "', ' REGISTRATION AND RELEASE FORM

R.A. ' ~ ,.r ', ' REGISTRATION AND RELEASE FORM ,,.r ",, :0 R.A. SYSTEMS REGISTRATION AND RELEASE FORM Primary Instructor:---- -------------- RELEASE FOR RAPE AGGRESSION DEFENSE SYSTEMS PHYSICAL DEFENSE SYSTEM The undersigned hereby acknowledges to

More information