Touch A Truck® Vehicle Registration Form
Thank you for your interest in participating in Kids Hub Child Advocacy Center’s Touch A Truck® event. Please complete the form below to register your vehicle. A Kids Hub team member will follow up with additional event details.
Contact Information
Full Name
*
Organization/Company Name
*
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Best Method of Contact
*
Phone
Email
Either
Vehicle Information
Tell us about your vehicle!
Type of Vehicle
*
Description of Vehicle
*
Approximate Vehicle Size
*
Can children safely climb on or inside this vehicle?
*
Yes
No
Will your vehicle be stationary for the entire event?
*
Yes
No
Safety & Participation
Each participant is required to provide someone to supervise your vehicle for the entirety of the event.
*
Please Select
I acknowledge
Number of Staff Members Attending Event
*
Will your vehicle use (please check all that apply):
*
Lights
Horns/Sirens
Other
Liability Acknowledgment
Liability Waiver Acknowledgment
*
I understand and agree that I am solely responsible for the safe operation, condition, and supervision of my vehicle and equipment during the Touch A Truck event. I agree to indemnify, defend, and hold harmless Kids Hub Child Advocacy Center, its staff, volunteers, sponsors, and affiliates from any and all claims, injuries, damages, or losses arising out of or related to my vehicle or equipment.
Photo & Media Release
Photo/Media Consent
*
I understand and agree that photographs, video recordings, and/or audio recordings may be taken of my vehicle and me as the vehicle operator during the Touch A Truck® event. I grant permission to Kids Hub Child Advocacy Center to use such media for promotional, educational, and informational purposes in print, digital, and social media, without compensation or further approval.
Final Confirmation
Confirmation Statement
*
I confirm that the information provided is accurate and that I will comply with event guidelines provided by Kids Hub Child Advocacy Center.
Additional Notes or Questions
Submit Form
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