Awake All Night

This event is for Middle and High School students (this includes rising 6th graders). The cost is $25. The event will last all night from 7:30pm (6/12) to 7am (6/13).

Student First Name

Student Last Name

(Additional) Student First Name

(Additional) Student Last Name

Parent First Name

Parent Last Name

Parent Email

Parent Phone Number

Student Allergies or Medications

Is there anything that would be helpful for the leaders to know?

Here is the Waiver for Defy/SkyZone (trampolines) https://waiver.haveablast.roller.app/defyflorence/home

Have you completed the above waiver for Defy/SkyZone (trampoline activity)?

Yes

Here is the Permission Form for the event as a whole. By signing below, you are agreeing to what is stated in the form.
https://storage2.snappages.site/XM46NN/assets/files/Awake-All-Night_Permission_Form_-1.docx-65.pdf

Parent Signature

Name of Parent/Guardian Signing this Form

Here is Kelly's cell # in case you have any questions before or during the event: 757-350-9371