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Lansing Area and Zone Youth Registration form
This from is required for the Michigan Adventure and Water Park trip for youth  18 years or under.

PARENT/GUARDIAN CONSENT AND RELEASE FORM

Lansing Area and Zone Youth Expectations:

 Respect yourself, others and the property of others.
 Follow Leaders instructions.
 Do not use language that is abusive to staff or fellow youth.
 Follow the dress code of Michigan Adventure in the Water Park
 Dress modestly.  All youth and leaders are required to wear a tee shirt provided by Lansing Area and Zone Youth at all times while on the Michigan’s Adventure and Water Park trip.

Parent/Guardian Wavier/Permission:
Lansing Area and Zone Youth does not discriminate due to race or national origin.

I approve the participation of my minor child in Lansing Area and Zone Youth activity and waive any and all claims against the same, its Officers, Leadership Committee, the Church of the Nazarene, Michigan District Church of the Nazarene, Lansing Zone, due to injury or other damages incurred to the activity participant, or said property to the activity participant in connection to the activity named below. I assure that my child is in good physical health and is able to attend this activity listed below.

I authorize the Lansing Area and Zone Youth association to render necessary routine first aid and medical care as required. In the event of an emergency, I give permission to the licensed physician chosen by Lansing Area and Zone Youth association to hospitalize, secure treatment, anesthetize or perform surgery for the activity participant named on this form below. I give permission for Lansing Area and Zone Youth to use my child’s picture (video or photograph) for publicity purposes.

I give permission for _______________________________ to take part in Michigan’s Adventure  and Water Park.
(Name of youth)                      
on this day ______________________

Parent/ Guardian Signature:   __________________________________________  Date:  ______________

Activity Participant Agreement:

I have read and agree to abide by all the rules of Lansing Area and Zone Youth.

Youth Participant Signature: __________________________________

Registration:

Name: ____________________________   Address: ___________________________  City:______________ State:___

Zip:_________  E-Mail Address:  (____________________________

Home Phone: ________ Cell:__________  

Parent (s) Name:_____________________  Address:____________________________                                                (If different from above)

Emergency Contact Information

In an emergency, parents are contacted first. List an additional contact person.

Name: ______________                 Phone: _________      Cell   __________

 List Medications: _________________________________________List Allergies:  ___________________________________

The Following are the rules and guidelines for dress in the water park.

Waterpark Dress Code
WildWater Adventure requires all participants to be in swimsuits. Street clothes (athletic clothing, nylon shorts, jean shorts, etc.) are not permitted. Metal snaps, buttons, rivets, or zippers are not allowed. Swimmers may wear aqua socks in the wave pools or kiddie areas, but no footwear is allowed on any of the slides. Only Coast Guard approved life jackets are allowed as flotation devices. If you have any questions regarding specific swim wear or need further clarification of our swimsuit policy, please

Keep in mind that we require for you to wear your LAZY Tee shirt in the water park at all times.  Another Tee Shirt can be purchased for $5.