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How to copy and paste the Michigan Adventure forms onto your word processor. 1. Left click and hold the cursor at the top and beginning of the document below. 2. Drag the cursor to the bottom right hand corner of the document. 3. Right click on the document, and choose copy. 4. Go to your word processor. 5. Choose new document on your word processor. 6. Right click again, and choose paste. 7. Save the document for later use. 8. Print it.
Note: That there are two segments. Parent Release form and the Medical Information. Both are needed!
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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) June 12th, 2010.
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 __________ Please fill out the Medical Information form and attach copy of medical insurance card, if available.___________________________________
Medical Information: Please fill out on this sheet, medications, name of physician, and other details that are needed. Please make a copy of insurance card and attach to this form. Medical Information-Please fill out applicable areas Put "None" in areas that do not apply to your camper. Name of medication Strength Dose Times give/taken Directions: Name of Physician and phone number: List any other conditions that needs to be addressed for us to be aware of for this camp:
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.
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