As a parent/ guardian, I give permission for my child to participate in the programs and activities of Cornerstone Youth Center.
Location: Cornerstone Youth Center
On: Friday-Saturday, October 9th and 10th, 2026
from 7:00 p.m.-7:00 a.m.
If you have any questions or concerns, please contact:
Cornerstones Assistant Director
Jonathan Weatherholtz at 717-723-1580 or jonathan@cornerstoneetown.org
I am aware of the inherent risks associated with these activities and that all risks cannot be prevented. If my child should require emergency medical treatment, I consent to such treatment. I acknowledge that Cornerstone does not provide accident or health insurance for youth participants, and I agree to be responsible for any medical bills incurred as a result of emergency medical treatment.
To the maximum extent permitted by law, I hereby hold harmless and release Cornerstone, its employees and volunteers, from any claims for damages or injury to my child or property, which may arise from my child's participation in the above program and all related activities.