Registration Form
Please fill out this form each time you visit the Family Tree Café and Indoor Play
Full Name:
*
First Name
Last Name
E-mail:
*
Phone:
*
Number of Children:
*
Cash Donation:
CC Donation:
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USD
$4: 1 child, coffee, & snack - $8: 2 kids, coffee, & snacks - $12: 3 kids, coffee, & snacks - $16: 4 or more kids, coffee, & snacks
Credit or Debit Card
Liability Form
*
By checking this box, I agree to the following: I hereby give permission for my child to participate in Family Tree Cafe. I understand that participants will be engaging in activities, games, and other physical activities. In consideration of the entry being accepted, I hereby, for myself, heirs, executors and administrators to the extent permitted by law, agree to protect, indemnify, defend and hold harmless University Baptist Church, the Property Owners, Associated Groups any respective officers, employees, agencies, insurers, volunteers, other official sponsors from any liability against all claims, losses, damages, persons injury or worse, property and costs (including reasonable attorney’s fees) arising out of or connected with or participation in events associated with the UBC, including, but not limited to: the set-up, removal, maintenance, occupancy or use of the property, owned or rented by listed parties above, or as a result of traveling to or from the event, except those claims arising out of the sole negligence or willful misconduct of listed parties. I further state that the participant is in proper physical condition to participate in the activity.
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