OZONE Fall Breakaway 2026
Friday October 16-Sunday October 18. Our Fall Breakaway is for High School students (9th-12th) overnight at Camp War Eagle. Cost $25 per student; limited number of spots.
Student Information
Student Name
*
First Name
Last Name
Birth Date
*
Please select a month
January
February
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Please select a day
1
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Day
Please select a year
2026
2025
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Year
Grade
*
8th
9th
10th
11th
12th
Gender
*
Male
Female
OZONE City
*
North (Bentonville & Rogers)
Fayetteville
Springdale
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Information
Name
*
First Name
Last Name
Primary Number
*
Format: (000) 000-0000.
Secondary Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
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Emergency Information
Emergency Contact's Name
*
First Name
Last Name
Relationship
*
Please Select
Mother
Father
Grandparent
Aunt
Uncle
Sibling
Babysitter/Nanny
Other
Phone Number
*
Format: (000) 000-0000.
Alt. Phone Number
*
Format: (000) 000-0000.
Does your child have an allergy which requires an epi pen? If yes, please provide any information regarding your child's allergy (reaction, treatment, ect.)
*
Does your child have an allergy which DOES NOT require an epi pen? If yes, please provide any information regarding your child's allergy (reaction, treatment, ect.)
*
Does your child have any special food concerns?
*
Does your child have a seziure disorder?
*
Yes
No
Does your child have any other medical conditions we should be aware of?
*
I am aware my student will be traveling to Silver Dollar City on Friday and am giving permission for that trip.
YES, I understand
No, I would like to make a plan to opt out of the field trip
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Payment
We will be sending an invoice to the email listed previously for $25. You must pay to secure your spot for Fall Breakaway. Please contact erin@campwareagle with questions or concerns.
I understand and l agree to the payment of $25 per student to secure their spot for Spring Break.
*
Yes
No
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Confirmation
BYÂ ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Signature
*
Submit
Should be Empty: