Kids Registration Form
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
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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