OFF-SITE ACTIVITY REQUEST FORM

Name *
Name
Address *
Address
Phone *
Phone
Background Policy *
I understand that it is my responsibility to make sure that my chaparones/leaders have completed their background check if the activity involves minors
Medical Waiver Policy *
I understand that it is my responsibility to have permission slips or medical waiver release of liability for all persons under the age of 18
Date *
Date
Time of Event *
Time of Event
End of Event *
End of Event

If you have any questions or concerns about your event, please call the office at 330-225-4366.