PARTY Join us for an awesome day of Minecraft fun! Play the Minecraft Game, grab snacks at our “refuel station” Make keychains and many more crafts Date Time Location February 25th 2017 1PM‐3PM Penny Playground‐V.R. Lee Community Building 221 SW 13th St Chehalis, WA 98532 Fee $15 pre‐registration ~ Before February 13th $20 on and after February 13th Limit of 24 K‐5th Graders Parents are welcome and appreciated at no charge Who is welcome Two ways to purchase tickets now Purchase tickets in person Purchase tickets online City of Chehalis Parks and Rec www.eventsbymegg.com 1321 S Market Blvd Chehalis 360‐748‐0271 ci.chehalis.wa.us This amazing party has come together thanks to; Events To Remember Lewis/Thurston County Party Coordinator 360‐324‐8122 A Little Indulgence Cakery Lewis/Thurston County Custom Cakes and Cupcakes 360‐262‐9818 A portion of the proceeds will be donated to TLOL; a local group that sponsors and participates in fund raising events and activities to support local charities. Registration for Minecraft Party Name:__________________________________________________________ Grade_____________________ Address____________________________________________ City/Zip________________________________ Phone__________________________________ Daytime Phone______________________________ I am fully aware of the special dangers and risk inherent in the activity, including physical injury, death, or other consequences and may arise or result directly or indirectly from the activity. In the event of a series injury we are unable to contact a parent or guardian the supervisory staff will seek emergency medical assistance. Being fully informed as to these risks and in consideration of the privilege of participating in the above‐described activity, I hereby assume all risks, injury, damage, and liability and waive any right of recovery from or to bring suit against the City of Chehalis, Chehalis School District, PAC, Events to Remember, instructors, volunteers for any personal injury death or other consequences arising out of my voluntary participation in the activity, except for the sole negligence of the city. I certify that I am the parent or legal guardian of the participant named above; that I have read and understood the foregoing release; and that I join in the release without reservation, granting full consent and authorization for the above‐named person to participate in the activity. Parent/Guardian Printed Name Parent/Guardian Signature Date The Chehalis School District does not sponsor this event and the District assumes no responsibility for it. In consideration of the privilege to distribute materials, the local school district shall be held harmless from any cause of action filed in any court or administrative tribunal arising out of the distribution of these materials, including cost, attorneys fees and judgments or awards. PLU#15 Minecraft Party Date______________ Check#______________ Cash_______________ Amt Pd______________ Receipt#______________
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