San Onofre Camping Trip - City of Manhattan Beach
Transcription
San Onofre Camping Trip - City of Manhattan Beach
Teen Center Summer Program Annual Camping Trip to San Onofre State Beach Join us for three days & two nights! All jr. high and high school students welcome! Trip Information Trip departs from the MB Teen Center on Wednesday, August 3rd at 9 AM. We will return to the Teen Center on Friday, August 5th at 1 PM. Please provide your camper with a sufficient amount of money for 2 meals and snack purchases for the 2nd night’s movie. List of Items to bring Shelter/Bedding __Tent __Sleeping Bag __Sheets/Blankets __Pillow __Air mattress/ sleeping pad __Air Pump __Repair Kit for air mattress Personal __Shower shoes/Flip Flops __Towels/washcloth __Shampoo/conditioner __Body wash __Deodorant __Comb/Brush __Quarters For Shower ($5.00) Clothes __Shoes/Flip Flops __Jeans/Pants (night) __Shorts __T-Shirts __Socks/Extra Socks __Hat __Light Jacket __Underwear __Sleep Clothes __Swimsuits/Towel __Laundry bag Miscellaneous __Lots of Sunscreen/chapstick __Flash light/Extra batteries __Bug Repellent __Water Bottle __Camera/Battery/Film __Camp Chair __Sunglasses __Tissues __Money for several meal purchases __Snacks Drop off YOUR waiver today at the following locations • Teen Center (1600 Manhattan Beach Blvd.) • City Hall (1400 Highland Avenue) San Onofre State Beach Camping Trip Medical Release/Consent/Liability Waiver Participation in The San Onofre State Beach camping trip event involves activity that includes surfing, hiking, swimming and other water activities. Injury to the back, neck, arms, legs, joints, as well as sprained muscles, bruises and more serious injury is possible. These are inherently dangerous activities with a significant risk of injury. In applying to participate I assume the risk of these activities including any and all injuries which may ensue. In consideration of acceptance of my entry to The San Onofre State Beach camping trip , I waive any and all claims for myself and my heirs against officials or sponsors of The San Onofre State Beach camping trip the City of Manhattan Beach, its officers, agents and employees for any claims, demands, injuries, illness, damages, or actions to my person or property arising out of or in connection with or which may directly or indirectly result from my participation in these events. I hereby hold the City of Manhattan Beach, its employees and agents, and the sponsors and operators of The San Onofre State Beach camping trip harmless from all claims which may be brought against them by myself, on my behalf or by any third party for any such injuries or claims aforesaid. For Information Contact Andrew Berg, Senior Recreation Leader 310-802-5426 Brianne Sternad, Recreation Supervisor 310 802-5435 Mr. Idris J. Al-Oboudi Recreation Services Manager www.citymb.info Parks and Recreation 1400 Highland Avenue, Manhattan Beach, CA 90266 310.802.5448 | [email protected] Main Contact Name First: Last: Residential Address Street: City: State: Zip: Home Phone: Cell Phone: Work Phone: Email: Please email me periodic updates. (circle one) Yes No In Case of Emergency, Contact (Other Than Main Contact) First Name: Last Name: Relationship: Home Phone: Other Phone: Participants Name First: Last: Participants DOB: Gender: (circle one) M F Activity Name: Activity Fee: Activity Name: Activity Fee: Payment Information Circle One: Cash Check (Check # ) Visa MasterCard Credit Card Number:___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___ Exp Date: ___ / ___ / ___ Signature:
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