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Join us Fridays for Prayer and Pizza
Fridays from 6:30-8:15pm - Ages 10-17
Join us Sundays for Prayer and Pizza Remix
Sundays from 4:30-6pm - 9th-12th graders
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Waiver for prayer and pizza

Valid through Jan. 2025

I hereby authorize the staff and volunteers of Anxious for Nothing INC.  to act for me according to their reasonable judgment in any emergency requiring medical attention. I acknowledge that participation in athletics carries with it a risk of physical injury. I agree that Anxious for Nothing INC, its agents, employees, staff, volunteers, Blue Ridge Community Church or any of its assignees or other successors in interest, shall not be liable to me or the student/participant for any injury or damage, whatsoever caused, resulting directly or indirectly from the student or my participation in Anxious for Nothing INC skateboarding/Scootering, at any time preceding, during, or after the session. I hereby discharge and shall indemnify Anxious for Nothing INC, its agents, employees, staff, volunteers , Blue Ridge Community Church or any of its assignees or other successors from all actions, claims, and demands the student or I may have for any such injury or damage. All medical expenses incurred will be the responsibility of the participant or the participant’s parent or guardian. I have no knowledge of any physical or mental impairment that would affect the student’s or my participation in skateboarding/scootering, games etc.

 

Student/Participant Signature:                                

Skateboarder Jumping

Address

Physical Address:

578 Blue Ridge Ave

Bedford, VA  24523

Mailing Address:

PO Box 465

Bedford, VA  24523

Phone

(540) 330-9488

Email

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For I know the plans I have for you declares the Lord,
plans to prosper you and not to harm you,
plans to give you hope and a future! 
 Jeremiah 29:11
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