Birthday Party Waiver
Each parent/guardian of a participant must fill out this online waiver form before their child participates in the birthday event at Stillwater Area Public Schools District Facilities. The purpose of this waiver is for the parent/guardian to understand that there are inherent risks associated to any event or activity. If you have any questions or concerns about this waiver form, please contact Jodi Loeblein-Lecker at loeblein-leckerj@stillwaterschools.org or by phone at 651-351-8037.
Please list the first and last name of the person's who's birthday party your child will be attending. *
Your answer
Child's First Name (Guest) *
Your answer
Child's Last Name (Guest) *
Your answer
Child's Birth Date - (Birthday of the guest, not the Birthday child) *
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DD
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YYYY
Parent/Guardian Full Name *
Your answer
Parent/Guardian Phone Number *
Your answer
Parent Email Address
Your answer
If attending a pool party, please check all that apply.
Liability Statement
I, as parent or guardian of the above listed child, understand that there is an inherent risk of accident and injury in any activity. I understand that it is my responsibility to be aware that there are assumed risks in participation of this event and any associated activities. Stillwater Area Public Schools assumes no responsibility of injuries received during activities. Any changes in a participant's current physical activity level should be done under the approval and direction of their physician and/or health care provider(s). *
Required
Parent/Guardian Electronic Signature *
Your answer
Current Date *
MM
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YYYY
Submit
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