Dodgeball Blast - Clearwater Recreation Commission

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Dodgeball Blast on January 19, 2026

Come compete with and against other in this Dodgeball Blast Game for grades K-8th on Jan. 19, 2026 starting at 1pm in the Middle School Gym. Enter CIMS through the South Door #8. All are welcome and kids will play against similarly aged children.

Child's Name*

First Last

Select Child's Grade Division*

Select Child's Dismissal Option*

Parent/Guardian Name*

First Last

Parent/Guardian Work Phone Number*

Parent/Guardian Phone Number*

Permission for Photos to be taken?

Parent/Guardian Email*

Others allowed to pick up your child? Please state below their name & relationship.

Address*

Street Address Address Line 2 City State ZIP Code

Parent/Guardian Signature*