2024 Aerospace Interest Group
Please choose which year
Beginner
2nd Year
3rd Year
4th Year
5th year
6th Year and above
Name
First Name
Last Name
Grade
4th
5th
6th
7th
8th
9th
10th
11th
12th
Are you currently a 4-H member?
Yes
No
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Although emergencies are never a planned part of a program, we would like to know how to contact you in case a need a rises. Please provide a parent/guardian cell phone number that can be called in case of an emergency.
By typing your name below, you give permission for your child to participate in the Aerospace Interest Group. I give my permission for the above named individual to participate in the Aerospace Interest Group. I hereby RELEASE FROM LIABILITY, IMDEMNIFY, and HOLD HARMLESS the State of Iowa, Board of Regents of the State of Iowa, Iowa State University, ISU Extension and Outreach, and Boone County Agricultural Extension District and any of the officers, servants, agents and employees of the above-mentioned entities (hereinafter referred to as RELEASEES) for any liability, claim and/or cause of action arising out of or related to any loss, damage or injury, including death, costs or other expenses or liabilities incurred by me and anyone accompanying me, (including minors I am responsible for during this event), that occurs as a result of my or my child’s voluntary participation in this program. This release, however, is not intended to release the above-mentioned RELEASEES from liability arising out of their sole negligence. In the event you cannot be reached in an emergency, you give permission to the program presenters to seek appropriate medical attention. You give permission for photos taken at the classes to be used by Boone County ISU Extension and Outreach for educational and promotional purposes including on their website. (Parents are welcome to come and observe at any time.)
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