Entrance Waiver Form
By filling out the information below you are allowing BrickEd and More to market, take pictures and videos, and agree to all rules and regulations for usage of the space.
Child 1 Name
*
First Name
Last Name
Child 2 Name (if applicable)
First Name
Last Name
Child 3 Name (if applicable)
First Name
Last Name
Child 4 Name (if applicable)
First Name
Last Name
Parent/Guardian Name
*
First Name
Last Name
Best Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Email
*
example@example.com
How did you hear about us?
*
Please Select
Facebook
LinkedIn
Instagram
TikTok
Referral by a friend
Child's field trip
Birthday party
Other
What other BrickEd™ services are interested in finding out more about?
*
Birthday party
Summer camps/specialty holiday camps
Field Trips/Group Day Trips
Tutoring
Teacher Professional Development/Training
Afterschool at BrickEd™
Other
Signature of Parent/Guardian (by signing you are agreeing to the rules and regulations for usage of the space. No refunds will be provided if asked to leave due to misuse of the space.
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