• Registration Information

  • CHD Child Registration:

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    Pick a Date

  • Gift Selection:

    Please select at least one item in the appropriate age category for the child. Please feel free to use the "other" field if needed.

  • Child 2 Registration

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    Pick a Date

  • Gift Selection:

    Please select at least one item in the appropriate age category for the child. Please feel free to use the "other" field if needed.

  • Child 3 Registration

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    Pick a Date

  • Gift Selection:

    Please select at least one item in the appropriate age category for the child. Please feel free to use the "other" field if needed.

  • Child 4 Registration

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    Pick a Date

  • Gift Selection:

    Please select at least one item in the appropriate age category for the child. Please feel free to use the "other" field if needed.

  • Child 5 Registration

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    Pick a Date

  • Gift Selection:

    Please select at least one item in the appropriate age category for the child. Please feel free to use the "other" field if needed.

  • Child 6 Registration

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    Pick a Date

  • Gift Selection:

    Please select at least one item in the appropriate age category for the child. Please feel free to use the "other" field if needed.

  • Child 7 Registration

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    Pick a Date

  • Gift Selection:

    Please select at least one item in the appropriate age category for the child. Please feel free to use the "other" field if needed.

  • Child 8 Registration

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    Pick a Date

  • Gift Selection:

    Please select at least one item in the appropriate age category for the child. Please feel free to use the "other" field if needed.

  • Child 9 Registration

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    Pick a Date

  • Gift Selection:

    Please select at least one item in the appropriate age category for the child. Please feel free to use the "other" field if needed.

  •  

    Standard Photo & Video Release From (required) 

    I hereby authorize Kerrington's Heart, Inc. to publish the photographs and video's taken of me and/or the Cookies with Santa registered minor children.  I also authorize our names for use in Kerrington's Heart, Inc. printed publications, website, and social media.

    I release Kerrington's Heart, Inc. from any expectation of confidentiality for minor children and myself.  I attest that I am the parent or legal guardian of the children listed above and that I have the authority to authorize Kerrington's Heart, Inc. to use their photographs, videos, and names.

    I acknowledge that since participants in publications and websites produced by Kerrington's Heart, Inc. is voluntary, neither the minor children nor I will receive financial compensation.

    I further agree that participation in any publication and website produced by Kerrington's Heart, Inc. confers no rights of ownership whatsoever.  I release Kerrington's Heart, Inc., its board members, and volunteers from liability for any claims by me or any third parts in connection with my participation or the participation of the listed minor children.

     

    My signature is consent to these terms. 

     

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