• GoByk Registration and Emergency Contact

  • Parent/Guardian Information

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  • Emergency Contact Information

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  • Medical Insurance Information

    I authorize all medical and surgical treatment, X-ray, laboratory, anesthesia, and other medical and/or hospital procedures as may be performed or prescribed by the attending physician and/or paramedics for my child and waive my right to informed consent of treatment. This waiver applies only in the event that neither parent/guardian can be reached in the case of an emergency.
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  • Photo Release

    By signing below, I hereby grant Go Beyond Your Knowledge Fund (GoByk) permission to interview my child/ren and/or to use their likeness in photograph(s)/video in any and all of its publications and in any and all other media, whether now known or hereafter existing, Go Beyond Your Knowledge Fund, in perpetuity, and for other use by the organization.I will make no monetary or other claims against Go Beyond Your Knowledge Fund for the use of the interview and/or the photograph(s)/video.
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        Soulful Sounds Number of children registering T-Shirt Price
        First Child $300.00
        Second Child (Sibling Discount) $285.00
        Third Child (Sibling Discount) $265.00




        Total $0.00

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