• Ultimate Weekend 2026

    Drop off at Mountain Home Union Church 3330 HWY 16 Pangburn, AR 72121
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Grade going into *
  • Student Shirt Size (These are Adult Sizes)*
  • Parent Consent and Liability Release Form

    Ultimate Weekend 2026
  • Youth Event - Ultimate Weekend

    July 31st, August 1st and 2nd
  • Consent and Release

  • I, the undersigned parent or legal guardian, give permission for my child to participate in the youth event listed above. 

     

    I understand that participation in youth activites may involve certain risks. I voluntarily assume these risks on behalf of my child and acknowledge that reasonable precautions will be taken to provide a safe environment. 

     

    I release and hold harmless the organizers, leaders, volunteers, staffers, and the nonprofit organization from liability for injuries, losses, or damages arising from participation in this event, except as otherwise provided by law. 

     

    In the event of a medical emergency, I authorize event leaders to obtain emergency medical treatment for my child if I cannot be reached. I understand that I am responsible for any medical expenses incurred. 

     

  • Transporation Authorization 

    I give permission for my child to be transported to and from this event by approved adult volunteers or staff.

     

     

  • Photo/Media Consent - I give permission for photographs or videos of my child to be used by the organization for promotional, educational, or social media purposes.*
  • Date*
     - -
  • Should be Empty: