Iconic Joplin Builder Application

Creativity Lab - 905 Main Street, Joplin (9-10:30 am)

Joplin History & Mineral Museum -  504 S. Schifferdecker Avenue, Joplin (12:30-2pm)

Joplin Public Library -  1901 E. 20th Street, Joplin (3-4:30 pm)

Please confirm that the Builder is available on the following dates:   Dec 10 | Jan 7, 14, 21 | Feb 11, 25 | Mar 11 | Apr 1



I hereby certify that I am the parent or official guardian of the Builder whose information is provided on this form and do hereby give my consent without reservation to the foregoing on behalf of this person. I acknowledge that I am over 18, have read this entire release before signing below, I understand and agree to the contents of this release, and am not relying on any other statements or representations of any released party.

I consent to Landmark Builds taking and using photos.

Iconic Joplin Builder Application

Which Team Host would the Builder prefer?

Please confirm that the Builder is available on the following dates: Dec 10 | Jan 7, 14, 21 | Feb 11, 25 | Mar 11 | Apr 1