SkyZone registration

This form is intended for parents to fill out.

By filling out this form you are giving permission for your child to ride with First Church to and from SkyZone in Mishawaka. You are further agreeing to hold the First Church of God and its adult supervisors guiltless from any responsibility other than normal supervision and care.

In case of accident or emergency, you will not hold First Church of God and its adult supervisors liable, unless guilty, of gross disregard for the safety of your child.

Furthermore, in case of accident or emergency, you give permission for First Church of God and its adult supervisors to order any necessary medical treatment. Understand that every opportunity will be made to contact you in case of an accident or emergency.

1. Student Information *This question is required.

Student First Name

Student Last Name

Parent Email Address

2. Over the Counter Permission
Do you give permission for your child to be given over-the-counter medication as needed and as directed on the label, to treat non-emergency medical conditions that do not require a doctor or hospital visit such as a minor headache, stomachache, or allergic reaction (i.e. Tylenol, Advil, antacids, Benadryl) while on this trip? *This question is required.