Activity Release Form

World Vision (Sewickley) & Settlers Cabin Park Wave Pool Activity Risk Acknowledgement and Release Form

Sponsoring organization: Waterdam Church Youth Ministry - 208 Galley Rd, Canonsburg, PA 15317 - Church Phone: 724-745-2158

Name of Sponsor Coordinator: Scott MacLeod - Cell Phone: (412)600-6740 - Email: lighthousehup@yahoo.com

Wednesday, June 23 - World Vision (Sewickley) & Settlers Cabin Park Wave Pool