Free Kids Registration Form Template

Kids Registration Form

Please fill out the following information to register.

Child's Information

Name

    Date of Birth

      Age

        Gender

        • Male

        • Female

        Parent/Guardian Information

        Name

          Relationship to Child

            • Mother

            • Father

            • Guardian

            Phone number

              Email

                Does the child have any allergies?

                Is the child currently taking any medications?

                Does the child have any special needs or medical conditions we should be aware of?

                Consent and Waiver

                I, the undersigned parent/guardian, hereby consent to allow my child to participate in the above event/program. I understand that the organizers are not liable for any accidents or injuries that may occur and that it is my responsibility to inform staff of any medical or special needs.

                Date:

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