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Kids For Kindness Membership Form

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Parent/Guardian Information

By filling out this form you are giving consent to enroll your child/children in the membership program.

1. Parent/Guardian Full Name: *

2. Address: *

3. Contact Number: *

4. Email Address: *

5. Emergency Contact: *

6. Reason for joining Kids For Kindness: *

Child/Children Information

Child/Children school name is required so that they may receive volunteer credit hours for each participation in events. Your child/children's school will be notified by our organization upon your or school's request.

7. Child/Children Full Name and Age: *

8. Name of School Currently Attending (for each child): *

Phone number of Child's school: *

Email of school for volunteer hours: *

9. Permission to call emergency services and/or take your child to the Emergency room in case of a Medical Emergency: * yesNo, I will take full responsibility for any consequence for not giving this permission

10. Child/children interests or hobbies:

Social Media Waiver Form

I, the undersigned parent/guardian of the participant(s) listed above, hereby consent to and authorize the use of my child’s likeness, voice, and/or image for promotional and informational purposes by Kids for Kindness...

I understand that my child's full name will not be published or shared publicly without separate written consent...

I understand that this consent and social media waiver shall remain in effect indefinitely unless and until revoked by me in writing. * YesNo, I will be responsible for removing my child from areas where photos & videos are being recorded

Liability Release Waiver

I, the undersigned parent/guardian of the participant(s) listed above, hereby acknowledge and agree that participation in activities and events organized by Kids for Kindness involves certain inherent risks...

I further agree to indemnify and hold harmless Kids for Kindness Children's Volunteer Organization...

I acknowledge that I have read this Liability Release Waiver in its entirety and fully understand its terms. * signature:

Consent for Minor signature:

405-437-4574

kidsforkidnessok@gmail.com

Oklahoma

Kids For Kindness Membership Form

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