Association of United Paraprofessionals

Youth Field Day

 

Susquehanna County Federation of Sportsmen’s Clubs

2010 YOUTH FIELD DAY

A Free Event Open to Youth Ages 8 to 16

With Ten Different Events including a Free Lunch provided to all participants

Saturday, September 24, 2011 - 8:00 a.m. to 5:30 p.m.

Harford Fair Grounds (Exit 217 off Interstate 81)

For Information, call President Bob Tiffany – (570) 934-9305

EACH PERSON PARTICIPATING IN AN EVENT RECEIVES INDIVIDAUL ATTENTION TO LEARN MORE

ABOUT SHOOTING, HUNTING, FISHING, TRAPPING, ARCHERY, WILDLIFE, AND OTHER OUTDOOR SKILLS.

EACH CHILD MUST BE ACCOMPANIED BY RESPONSIBLE ADULT THROUGHOUT THE DAY

(Note: Only one adult per family is necessary, please be sure to eat a good breakfast.)

Pre-registration and parent’s permission and release must be post marked by September 10, 2011

Please include a self-addressed stamped envelope with your completed registration.

There is a limit of one hundred participants in the Youth Field Day Events.

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YOUTH FIELD DAY REGISTRATION FORM

SATURDAY SEPTEMBER 24, 2011

Student’s Name_________________________________________________ Age____________________

Parent or Guardian______________________________________________ Relationship_____________

Address________________________________________________________ Telephone_______________

City__________________________________________State_____________ Zip Code________________

Please complete release form and mail to:

Youth Field Day c/o Bob Tiffany President, 2176 Graham Road Montrose, Pa 18801

To reserve your space please remember to enclose a self-addressed stamped envelope.

Parents Permission & Release for Youth Field Day - Saturday September 24, 2011

I/We ___________________, as a parent or guardian do hereby permit my son/daughter____________ to participate in the activities of the Susquehanna County Federation of Sportsmen’s Club Youth Field day held on September 24, 2011 at his/her own risk. I/we do hereby release the sponsors and staff of the activity and The Susquehanna County Federation of Sportsmen’s Clubs from any liability due to any accident or injury incurred during this day’s activities.

Signed by (Parent/Guardian) ______________________________________________Date_______________

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