Unite West Medical Release Form

Hey Parents!

If your child is going to Unite West and Ezra and Cyndi know about it, you will need to complete and sign this Emergency Medical Release Form. This is for all parents of students and children attending the event as well as the adult leaders coming. If you have any questions or need help understanding anything about this, text or call Ezra or Cyndi Engle or you can send him a message by replying to any remind messages you have received.

One more thing! As a courtesy, just so Ezra knows who to not remind again about this, Please email or send Ezra a text to know once you have completed the form successfully, for his peace of mind. You will need to fill out a seperate form for each individual attending, so if you have multipe children attending, that means multiple signatures.

These are the first names and last initials of all 9 people who are registered to go at this point:

  1. Cyndi E
  2. Luna E
  3. Zion E ✅
  4. Eden E ✅
  5. Isella W ✅
  6. Ezra E ✅
  7. Ezra W ✅
  8. Oliver W ✅
  9. Bryan S ✅

I will place a check mark after each name when I receive confirmation that each release form has been received. -Thanks! -Ezra Engle