Youth Group Event - Snow Tubing
Our next event this year will be snow tubing at Sunburst! Parents and siblings are welcome to attend as well. Just be sure to register everyone who will be staying and tubing.

Date: Friday, January 29th, 2021 7:00-9:00pm

We will meet at Sunburst (8355 Prospect Drive, Kewaskum, WI 53040) at 6:45pm to get everyone checked in. Pick up is at Sunburst at 9:00pm.

Cost: $15 per person

Register by Friday, January 22nd, 2021

Invite your friends! Facemasks required.
Email address *
Participant Information
Participant 1 First Name *
Participant 1 Last Name *
Participant 1 Gender *
Participant 1 Grade *
Participant 1 Pertinent Medical Conditions or Allergies
Participant 1: INHALER/EPI-PEN
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Participant 2 First Name
Participant 2 Last Name
Participant 2 Gender
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Participant 2 Grade
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Participant 2 Pertinent Medical Conditions or Allergies
Participant 2: INHALER/EPI-PEN
Clear selection
Participant 3 First Name
Participant 3 Last Name
Participant 3 Gender
Clear selection
Participant 3 Grade
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Participant 3 Pertinent Medical Conditions or Allergies
Participant 3: INHALER/EPI-PEN
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Participant 4 First Name
Participant 4 Last Name
Participant 4 Gender
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Participant 4 Grade
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Participant 4 Pertinent Medical Conditions or Allergies
Participant 4: INHALER/EPI-PEN
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Parish or Friend Of *
Parent Information
Parent/Guardian First Name *
Parent/Guardian Last Name *
Alternate Email
Contact Information During Event
ALTERNATIVE CONTACT NAME (If unable to reach person above) *
Medical Information
Visit and use group code GSSJ2021 to login. This online portal is where anyone who plans on tubing must register, fill out the liability waiver and pay. This must be done separately for each person attending. *
Digital Signature
Indemnity Agreement:
**In consideration for my child/ward participation, I agree to reimburse and indemnify parishes for all reasonable legal and court fees incurred by parishes in defending a lawsuit that I or my child/ward may bring against parishes, which relates to the above named activity if is found not legally liable by the courts and prevails in the lawsuit. If the parishes are found legally liable for injuries sustained by son/daughter/ward, this paragraph will not apply. I certify that I have an understanding of this agreement and any risks and hazards associated with the activity described above that my child/ward will be participating in. I further understand that I have the opportunity to fully discuss this agreement with a representative of the parishes to clarify any concerns or questions about the activity or this agreement that I may have. As parent or guardian of the above named student, I give permission for my child to participate in the field trip described above.
**Photo & Video Release: I hereby give my permission to the parishes for photographs and/or videos that may include my child’s image to be used in promotional materials. This includes any prints, slides, copies, reductions, or any other processes or treatments necessary to make a photograph/video for reproduction purposes. I release all rights and privileges for financial obligations for this permission.
**In the event of an emergency, I give permission to transport my child to a hospital for emergency medical treatment. I wish to be advised prior to any further treatment by the hospital or doctor.
By entering my full name, I attest that this constitutes my legal electronic signature on this form. *
A copy of your responses will be emailed to the address you provided.
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