Kennywood Day

Student's Info

Name

This address will receive a confirmation email

Address

Grade

Birthdate

Student's Phone Number

We will be using student's phone numbers for communication while at the Park. If your student does not have a phone, leave this portion blank.

Student's Phone Number

Emergency Contact

Emergency Contact (Name and Phone number)

Medications, Allergies, Dietary Restrictions

Please indicate if the student has any medications or allegies here. If not, leave the section blank.

Note: Any medications that a student needs to take while at the Park must be given to an adult leader to give to student with the time and dosage.

Medications? (that will be taken at the Park)

Allegies? (food or otherwise)

Student Expectations

● Respect others and treat them how I would like to be treated.

● Respect the leaders/volunteers and cooperate with their instructions.

● Use appropriate language.

● Refrain from teasing, bullying, or unwelcome behavior.

● Refrain from physically harmful or inappropriate contact.

● Not engage in sexual/ physically intimate behavior or any public display of affection. (Touching hands/ shoulders/ legs, cuddling, etc.)

● Notify a leader/volunteer if anyone has violated my physical or emotional boundaries or made me feel uncomfortable/unsafe.

●  Not bring any tobacco products, alcohol, vaping products, drugs or weapons.

●  Take full responsibility for my actions and understand that irresponsible behavior will result in disciplinary action (including, but not limited to immediate release for pick up)

●  Be respectful of the belongings of others.

Kennywood-specific expectations:

● Adhere to check-in policies and stay with leaders when required.

● Stay in a group of 3 at all times.

● Do not abandon another student/students from your group.

● Be accommodating to all within your group (this may require you to occasionally go on rides that you are not as excited about, so that your friends can have fun.)

All Students must read and agree to these expectations before signing up to go on this trip.

Student Signature (By typing my full name, I acknowledge that I have read and agree to all student expectations)

Payment

Cost

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Sat, July 19 from 10 AM- 10 PM

Spend the whole day with friends at Kennywood Park!

Who: Students who have completed 5th grade- 12th grade
When: Saturday, July 19

Cost: $25
(+money for any meals, games, snack, or additional items)

Drop Off: 10 AM at Northgate Church
Pick Up: 10 PM at Northgate Church

Meals:
Students are responsible for providing their own meals while in the Park, whether that be packing, buying, or a combination. We will have coolers available for use in a designated area for students who pack meals.

Recommended meal strategy:
- Pack a lunch (sandwich, apple, granola bar, water bottle, etc) that is completely disposable in a disposable bag.
- Bring money for dinner.

Sign up by Tuesday, July 15.

Kennywood Day

Description

Please Fix the Following