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Youth Ministry Spring Break Trip to Adrenaline Adventure Park on Fishers

- Ministry

April 9th: 3-6pm

Join us during your spring break at Adrenaline! All middle school students, high school students, and friends are welcome!
All middle school and high school students are invited to join us for an afternoon of fun - whether or not you're on Spring Break.

When: April 9th from 3-6pm.

Where: We will meet at Adrenaline Family Adventure Park in Fishers (10080 E 121st St., Suite 182) at 3:00pm. Students will receive unlimited access to the park, jump socks (or bring them if you have them) as well as pizza and soda for dinner. Students will be picked up at 6pm from Adrenaline.

Cost: $15 per student and we'll pick up the rest of the tab! If cost is an issue, please reach out about scholarship.

Waiver: Please fill out this waiver ahead of time so your child can participate. It will also be emailed to you after form submission.
The maximum number of form submissions has been reached. This form is currently not available.
- Parent Information
- Parent First & Last Name(s) REQUIRED Please fill out this field. Please enter valid data.
- Parent Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Emergency Contact Name REQUIRED Please fill out this field. Please enter valid data.
- Emergency Contact Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Student Information
- How many participants are you registering? Please fill out this field.
  
  Participant 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Allergies (note: we will have pizza and soda for dinner and are unable to accommodate dietary restrictions at this event) Please enter valid data.
  
  Are there other medical concerns we should know about for this event?
  We ask that all medications come in a sealed bag with the child's name prominent and clear instructions included.
  
  Participant 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Allergies (note: we will have pizza and soda for dinner and are unable to accommodate dietary restrictions at this event) Please enter valid data.
  
  Are there other medical concerns we should know about for this event?
  We ask that all medications come in a sealed bag with the child's name prominent and clear instructions included.
  
  Participant 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Allergies (note: we will have pizza and soda for dinner and are unable to accommodate dietary restrictions at this event) Please enter valid data.
  
  Are there other medical concerns we should know about for this event?
  We ask that all medications come in a sealed bag with the child's name prominent and clear instructions included.
  
  Participant 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Allergies (note: we will have pizza and soda for dinner and are unable to accommodate dietary restrictions at this event) Please enter valid data.
  
  Are there other medical concerns we should know about for this event?
  We ask that all medications come in a sealed bag with the child's name prominent and clear instructions included.
- Payment for Adrenaline15.0
- Online Transaction Fee1.0
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Youth Ministry Spring Break Trip to Adrenaline Adventure Park on Fishers

Parent Information

Student Information