Kickin' It With Our Girls Registration
This event will be held on October 19th, 2024 from 10:00 am- 1:00 pm
Parent's Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Participant's Name
*
First Name
Last Name
Participant's Name
First Name
Last Name
Participant's Name
First Name
Last Name
Number of family members coming
*
What organization are you representing?
*
IAmHER
FLY Girlz Academy
Community Member
Guest
Who will be participating in the Kickball Event? List the name(s) & Age(s) of participants. Parents/Guardians are encouraged to participate.
*
List any food allergies of participants.
*
Choose one of the items below to bring to the event:
*
Case of Water
Gatorade
Capri Suns
Ice
Ice Chest
Box of Chips
Cookies
Cupcakes
Cups
Plates
Cutlery
Ketchup
Mustard
Mayonaise
Choose a volunteer task for this event
Score keeper
Food server
Time keeper
By participating in the "Kicking it With Our Girls Breast Cancer Awareness Event" hosted by FLY Girlz Academy Inc. and IAmHER, I acknowledge and agree to the following terms: Assumption of Risk: I understand that participation in this event involves physical activity and potential exposure to various elements. I voluntarily assume all risks associated with my participation in this event, including but not limited to injury, illness, and any potential exposure to COVID-19 or other communicable diseases. Release of Liability: I hereby release and hold harmless FLY Girlz Academy Inc., I AM HER, their directors, officers, employees, volunteers, and agents from any and all claims, liabilities, demands, and causes of action that may arise out of or related to my participation in this event.Medical Authorization: In the event of an emergency, I authorize FLY Girlz Academy Inc., I AM HER, or any of their representatives to seek medical treatment on my behalf. I understand that I am responsible for any medical expenses incurred. Photography & Media Consent: I grant FLY Girlz Academy Inc. and I AM HER permission to use photographs, video recordings, or other media taken during the event for promotional purposes, including social media, websites, and other marketing materials.Compliance with Rules: I agree to follow all event rules, instructions, and guidelines provided by the event organizers, and I understand that failure to comply may result in my removal from the event without refund.
Agree
Disagree
Signature
Continue
Continue
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