Spring 2024 Sibshops
K-2nd Grade
Sib Information
Name
*
First Name
Last Name
Preferred Nickname
Birth Date
*
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Year
Gender
*
Please Select
Male
Female
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Prefer not to specify
School District
*
Please list any allergies, dietary restrictions, and/or other special considerations
*
T-shirt Size
*
Y XS
Y S
Y M
Y L
Information about special needs sibling (Name, age, diagnosis, etc.)
*
Parent/Guardian Information
Parent/Guardian Contact Name
*
First Name
Last Name
Parent/Guardian Contact Phone
*
Parent/Guardian Contact E-mail
*
example@example.com
Parent/Guardian Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Liability and Photo Release
Please use the checkboxes to indicate your understanding, waiver, and/or permission.
I, the undersigned parent/guardian, do hereby grant permission for my child, named above, to attend Sibshop; and
I understand that there is always a possibility that my child may sustain physical illness or injury. In consideration of this, I hereby waive and release The KASE Project, SIBS, the workshop instructors and volunteers, and any other persons associated with this Sibshop of all responsibility and liability of any nature whatsoever as it concerns any/all injuries, sickness, or damages incurred from my child’s participation; and
I give my permission for my child to be photographed/video recorded while attending this workshop. Photos and videos will be used in The KASE Project social media and website content as well as any telecast, broadcast, or written account of the workshop.
Signature
*
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My Products
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K-2nd Grade Sibshop (April 27 & May 4, 2024)
Registration Fee includes workshop supplies, lunches and snacks, and a SIBS t-shirt.
$
35.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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