Climb Time Indy for 7th â 12th Graders
YM 456 Parent/ Child Event @ Climb Time Indy From 6:00 p.m. – 9:00 p.m. on Saturday, April 25th Climb Time offers a wide range of difficulty levels from very easy to difficult, brought to you by some of the best route setters this side of the Mississippi. With over 4,000 different holds to choose from, our routes are changed weekly in order to ensure there is always something new to challenge you. They offer over 30 ropes and more than 8,500 square feet of climbing surface. We’ll meet in the Commons (Door C8) to carpool by 6:15 p.m., and come back around 9:00 p.m. That should give us about two hours on the wall. The cost is as little as $15 per climber (if you come only to hold ropes it won’t cost you a thing) which includes rental of the facilities, climbing equipment rental, and shoe rental for two hours, plus some snacks. Everyone holding ropes must be over the age of 14, so it’s important to have parents or older siblings sign up to attend. All you need to do is return the St. John information and waiver below and money (payable to St. John Youth) to the church office. Then go to www.climbtimeindy.com to complete the climbing waiver (It’ll get our group going quickly if we have these in advance, but it can also be done on site). --------------------------------------------------------------------------------------------------------------------------------------------------- --------------(Please return to the church office with $15 per climber by 4/22/15 after that it will be $20 with space available.)
Climber(s) Name(s): _______________________________________________________________________________
Rope Holder Name: ________________________________________(contact John if you don’t have someone over 14) These people have permission to attend the Youth Ministry event:
Climb Time Indy on 4/252015 (Event Name) (Event Date) This signed agreement absolves the chaperons of St. Johns Lutheran Church of any responsibility for the safety and well being of the child named above, beyond such matters as may be called reasonable care for children in the custody of the chaperons and subject to their clear instructions, and assumes personally and exclusively all responsibility and liability for accident, injury, etc., which may occur to the above-named child during the time of the specific activity as set forth at the beginning of the paragraph. In the event of an emergency where medical treatment is required I give permission to the church staff or chaperons to obtain the services of a licensed physician. Please attempt to notify me immediately concerning any such emergency. Emergency Contact Number:
_____________________________________________
Would you be willing to drive for this event? Y / N (you will be contacted if needed) How many total seats does your vehicle have ______ Comments or medical information:
_______________________________________________ Parent/Guardian Signature
Climber(s) Name(s): _______________________________________________________________________________
Rope Holder Name: ________________________________________(contact John if you don’t have someone over 14) These people have permission to attend the Youth Ministry event:
Climb Time Indy on 4/252015 (Event Name) (Event Date) This signed agreement absolves the chaperons of St. Johns Lutheran Church of any responsibility for the safety and well being of the child named above, beyond such matters as may be called reasonable care for children in the custody of the chaperons and subject to their clear instructions, and assumes personally and exclusively all responsibility and liability for accident, injury, etc., which may occur to the above-named child during the time of the specific activity as set forth at the beginning of the paragraph. In the event of an emergency where medical treatment is required I give permission to the church staff or chaperons to obtain the services of a licensed physician. Please attempt to notify me immediately concerning any such emergency. Emergency Contact Number:
_____________________________________________
Would you be willing to drive for this event? Y / N (you will be contacted if needed) How many total seats does your vehicle have ______ Comments or medical information:
_______________________________________________ Parent/Guardian Signature
