Recreation Phone Number(Required) I have saved the recreations cell number 360-912-4989 Booster Seat Requirement I will send a booster seat with my child. Your child must be at least 4ft 9 in tall to not be in a booster seat. Parents must provide Booster Seats for the field trip, if one is not provided, your child cannot go on the trip.Trip InformationShore Aquatic Center - 3/31/25, Depart at 10 AM - 3PM - 1st-6th GradesSky Zone (Silverdale) - 4/01/25, Depart at 9:30 am - 7th -12th gradesChuck E Cheeses (Silverdale) - 04/2/25, Depart at 11 am - K - 5th gradeDimension XR (Port Orchard) - 4/3/25, Depart at 10 am - 7th -12th gradesField Trips will be taking 24 Kids. Please provide your child with their Boost Seat. They cannot go if they do not have one.Parent/Guardian Name(Required) First Last Parent/Guardian Number(Required)Home PhoneHow Many Youth are you signing up?12345Address(Required) Street Address City State / Province / Region ZIP / Postal Code Emergency Contact Name(Required) First Last Emergency Contact Phone(Required)Transportation(Required) I will pick up my child at the Tribal Center after the event. I will pick up my child after the event at Location for youth to be picked up Participant/Youth 1 - If your child uses a booster seat, please send it with them.Participant/Youth Name(Required) First Last Age(Required)Grade (23-24 School Year)(Required)Allergies or Special NeedsOther physical or psychological condition that the Recreation Staff should know about? Yes No If Yes, what should we know? Participant/Youth 2 - If your child uses a booster seat, please send it with them.Participant/Youth Name(Required) First Last Age(Required)Grade (23-24 School Year)(Required)Allergies or Special NeedsOther physical or psychological condition that the Recreation Staff should know about? Yes No If Yes, what should we know? Participant/Youth 3 - If your child uses a booster seat, please send it with them.Participant/Youth Name(Required) First Last Age(Required)Grade (23-24 School Year)(Required)Allergies or Special NeedsOther physical or psychological condition that the Recreation Staff should know about? Yes No If Yes, what should we know? Participant/Youth 4 - If your child uses a booster seat, please send it with them.Participant/Youth Name(Required) First Last Age(Required)Grade (23-24 School Year)(Required)Allergies or Special NeedsOther physical or psychological condition that the Recreation Staff should know about? Yes No If Yes, what should we know? Participant/Youth 5 - If your child uses a booster seat, please send it with them.Participant/Youth Name(Required) First Last Age(Required)Grade (23-24 School Year)(Required)Allergies or Special NeedsOther physical or psychological condition that the Recreation Staff should know about? Yes No If Yes, what should we know? Release of Liability, Permission to Seek Medical Attention, and Media Release AgreementBy signing below I acknowledge and accept the risk of participation in the above-referenced trip. I agree, as the parent/legal guardian, to release, discharge and hold harmless the Lower Elwha Klallam Tribe and its officers and employees from any and all liability, claims, damages, costs, expenses, loss, and causes of action that in any way and at any time arise out of my child’s participation in the above-referenced trip.I agree to discuss with my minor child the importance of abiding by all rules, guidelines and instructions set forth by the Tribal staff regarding this activity. I give permission for a Lower Elwha Klallam Tribal Staff Member to seek medical care for the above listed minor child and to sign the appropriate consent forms that are necessary to carry out the treatment of my minor child in my absence.I give my consent for the Lower Elwha Klallam Tribal Staff to take and use photos and/or videos of my child for language publications that may be shared via multimedia such as the Tribal and/or local newspaper, DVD’s or Tribal internet websites such as YouTube.I have read this entire document and completely understand the terms and conditions.(Required) I agree to the terms and conditions.Signature(Required)Signed Date MM slash DD slash YYYY