For Middle & High School Students and Chaperones. Chaperones must be Safe Environment Trained.

Date: Saturday, October 3, 2026
Time: 10:00 AM - 1:00 PM (pick-up available at 12:30 p.m.)
Location: Imerman Memorial Park, 3495 Midland Rd, Saginaw
Supervised by: Taylor Piotrzkowski and adult chaperones
Transportation: Provide your own
Cost: Free ($2 entry fee into the park for non-Saginaw County residents), includes lunch (hot dogs and chips)
Deadline to register: September 28, 2026
Section A: Registration Information

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1. Name of participant: (Required.)

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2. Date of birth: (Required.)

Date

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3. Select gender: (Required.)

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4. Address: (Required.)

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5. Participant cell phone number:

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6. Emergency contact name: (Required.)

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7. Emergency contact phone: (Required.)

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8. Select type of participant: (Required.)

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