Snow Tubing Registration

Student/Participant Name*

First NameLast Name
I am*

Student (7th-12th grade)adult leader/chaperone
Will you be providing your own transportation to Valley's Edge or riding with the ECC Student group?

I will be providing my own transportationI will be transported by ECC Students

To grant student permission for event participation, this form must be completed, signed, and dated by parent or guardian.
Participation Permission:*

Yes- I give permission for my child to attend this event through ECC Student MinistriesNo- I do not give permission for my child to attend this event
Travel Permission:*

Yes- I give permission for my child to be transported by ECC Student MinistriesNo- I do not give permission for my child to be transported by ECC Student Ministries
Parent/Guardian Name:*

First NameLast Name
Cell/Phone Number*
Please enter a valid phone number.
Date*

MonthDayYear
Date
Signature*

Clear

Payment:

You may pay by cash or check (made out to ECC Students), ECC Cash, or online by credit/debit card.
I will be paying by:*

Cash/Check/ECC Cash/I'm an adult leader/chaperoneCredit/Debit (Online)

Online payment (credit/debit)*

ECC Students Snowtubing EventValley's Edge New Paris Ohio

$15.00

Total

$0.00

2026 ECC Students Snowtubing Event