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Event: StuMin Slip 'n Slide Kickball

Date: Wednesday, Jul 17, 2024

Time: 4:00 PM — 7:00 PM

Ticket(s):

Free - FREE

Slip 'n Slide Kickball Wednesday, July 17 at 4:00 pm For students who have completed 4th-12th grade July is often the hottest month of the year, so we will be hosting a slip 'n slide kickball event to cool off! This will happen on Wednesday, July 17th, after Worship Arts Camp.

Contact(s):	Dawn Ridgway dridgway@popmn.org
	Micah Maeda MMaeda@popmn.org

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Ticket Type

Free - FREE

Personal Information

Parent/Guardian First Name *

Parent/Guardian Last Name *

Address

City

State

Zip

Parent/Guardian Email *

Parent/Guardian Cell

First Name *

Last Name *

Student Cell

Insurance Provider/Policy Number *

First Name (2)

Last Name (2)

Student Cell (2)

Insurance Provider/Policy Number (if different from Student 1)

EMERGENCY CONTACT - if parent(s) cannot be reached *

Emergency Contact Cell *

Pizza will be served following Worship Arts Camp pickup and before the games begin. Please let us know of any allergies (bee stings, asthma) or dietary allergies/concerns.

List/describe any allergies or other concerns related to participating in this event.

Slip 'n Slide Kickball involves running and sliding into a pool of water. Safety measures and precautions will be taken but there is risk involved. Other games will be available. Please check your comfort level regarding the student(s) participation.

Participation Level *

Full Participation

Participation without Slip 'n Slide Kickball

The previous question pertains to Slip 'n Slide. The attached Liability and Permission Agreement pertains to the event as a whole.

I have read, discussed with my child(ren), and agree to the attached liability and behavior agreement. *

Yes

Liability Release and Behavior Agreement

Liability, Permission and Behavior Agreement 2023_24.pdf

If you would like to make a donation toward the pizza and supplies for this event, you may do so at the end of the registration process. Thank you!

I want to be reminded

Receipt Message