CAFA Skate & Celebrate November 9th, 2025

CAFA Respite Skate & Celebrate
Step 1: Complete this online form.
Step 2: Complete Enrollment Form/Waiver and Release
Step 3: Sign
DATE: November 9th, 2025

Location: The Rink
How many family members are you registering*
Child 1 Name*

First Name Child 1 Last Name Child 1
Child 1 Birthdate*

MonthDayYear
Date Child 1
Child 1 Age*
Child 1 Gender*
Child 1 Sexual Orientation*
Child 1 Race*

African AmericanAmer. Indian/Alaska NativeAsian IndianCaucasianChineseCambodianFilipinoFormer SovietHawaiianHmongJapaneseKoreanLaotianMienOtherOth Pacific IslSamoanUkrainianUnk./Not ReportedVietnamese
Child 1 Hispanic Ethnicity*

YesNoUnknown/Not Reported
Child 1 Primary Language*
Child 2 Name

First Name Child 2Last Name Child 2
Child 2 Birthdate

MonthDayYear
Date
Child 2 Age
Child 2 Gender
Child 2 Sexual Orientation
Child 2 Race

African AmericanAmer. Indian/Alaska NativeAsian IndianCaucasianChineseCambodianFilipinoFormer SovietHawaiianHmongJapaneseKoreanLaotianMienOtherOth Pacific IslSamoanUkrainianUnk./Not ReportedVietnamese
Child 2 Hispanic Ethnicity

YesNoUnknown/Not Reported
Child 2 Primary Language
Child 3 Name

First Name Child 3Last Name Child 3
Child 3 Birthdate

MonthDayYear
Date
Child 3 Age
Child 3 Gender
Child 3 Sexual Orientation
Child 3 Race

African AmericanAmer. Indian/Alaska NativeAsian IndianCaucasianChineseCambodianFilipinoFormer SovietHawaiianHmongJapaneseKoreanLaotianMienOtherOth Pacific IslSamoanUkrainianUnk./Not ReportedVietnamese
Child 3 Hispanic Ethnicity

YesNoUnknown/Not Reported
Child 3 Primary Language
Child 4 Name

First Name Child 4Last Name Child 4
Child 4 Birthdate

MonthDayYear
Date
Child 4 Age
Child 4 Gender
Child 4 Sexual Orientation
Child 4 Race

African AmericanAmer. Indian/Alaska NativeAsian IndianCaucasianChineseCambodianFilipinoFormer SovietHawaiianHmongJapaneseKoreanLaotianMienOtherOth Pacific IslSamoanUkrainianUnk./Not ReportedVietnamese
Child 4 Hispanic Ethnicity

YesNoUnknown/Not Reported
Child 4 Primary Language
Child 5 Name

First Name Child 5Last Name Child 5
Child 5 Birthdate

MonthDayYear
Date
Child 5 Age
Child 5 Gender
Child 5 Sexual Orientation
Child 5 Race

African AmericanAmer. Indian/Alaska NativeAsian IndianCaucasianChineseCambodianFilipinoFormer SovietHawaiianHmongJapaneseKoreanLaotianMienOtherOth Pacific IslSamoanUkrainianUnk./Not ReportedVietnamese
Child 5 Hispanic Ethnicity

YesNoUnknown/Not Reported
Child 5 Primary Language
Child 6 Name

First Name Child 6Last Name Child 6
Child 6 Birthdate

MonthDayYear
Date
Child 6 Age
Child 6 Gender
Child 6 Sexual Orientation
Child 6 Race

African AmericanAmer. Indian/Alaska NativeAsian IndianCaucasianChineseCambodianFilipinoFormer SovietHawaiianHmongJapaneseKoreanLaotianMienOtherOth Pacific IslSamoanUkrainianUnk./Not ReportedVietnamese
Child 6 Hispanic Ethnicity

YesNoUnknown/Not Reported
Child 6 Primary Language
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please Check One Box:

This is my first CAFA EventI have been to other CAFA Events
Parents Information
Parent 1 Contact (Primary): *

First Name Parent 1Last Name Parent 1
Parent 1 Email Address:*
example@example.com
Parent 1 Date of Birth*

MonthDayYear
Date
Parent 1 Age*
Parent 1 Gender*
Parent 1 Sexual Orientation*
Parent 1 Race*

African AmericanAmer. Indian/Alaska NativeAsian IndianCaucasianChineseCambodianFilipinoFormer SovietHawaiianHmongJapaneseKoreanLaotianMienOtherOth Pacific IslSamoanUkrainianUnk./Not ReportedVietnamese
Parent 1 Hispanic Ethnicity*

YesNoUnknown/Not Reported
Parent 1 Primary Language*
Primary Contact Home Phone Number*

Area CodePhone Number
Primary Contact Cell Phone Number*

Area CodePhone Number
Primary Contact Work Number

Area CodePhone Number
Parent 2 Contact:

First Name Parent 2Last Name Parent 2
Parent 2 Email Address:
example@example.com
Parent 2 Date of Birth

MonthDayYear
Date
Parent 2 Age
Parent 2 Gender
Parent 2 Sexual Orientation
Parent 2 Race

African AmericanAmer. Indian/Alaska NativeAsian IndianCaucasianChineseCambodianFilipinoFormer SovietHawaiianHmongJapaneseKoreanLaotianMienOtherOth Pacific IslSamoanUkrainianUnk./Not ReportedVietnamese
Parent 2 Primary Language
Parent 2 Hispanic Ethnicity

YesNoUnknown/Not Reported
Family Notes:
Enrollment Form/Waiver and Release

This section must be completed and signed.
*** Enrollment Form Parental/Guardian Consent, Release and Waiver of Liability and Indemnity Agreement WAIVER AND RELEASE: In consideration of my/my minor child(ren)’s enrollment and being permitted to participate in any way in CAFA activities, I name of adult participant(s) for myself, my heirs, personal representatives or assigns, and on behalf of the minor participant(s) identified below, do hereby release, waive, discharge, and covenant not to sue CAFA and its officers, employees, agents, volunteers and funders, including the County of Sacramento and its employees and agents, from liability from any and all claims including the negligence of CAFA and its officers, employees, agents, volunteers and funders, including the COUNTY, its governing Board, officers, directors, officials, employees, and authorized volunteers and agents, resulting in personal injury, accidents or illnesses including death, and personal property loss arising from, but not limited to, participation in CAFA activities. INDEMNIFICATION AND HOLD HARMLESS: I agree to indemnify and hold harmless CAFA and its officers, employees, agents, volunteers and funders, including the COUNTY, its governing Board, officers, directors, officials, employees, and authorized volunteers and agents, from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney’s fees, brought as a result of my involvement in CAFA activities, and to reimburse them for any such expenses incurred. SEVERABILITY: I expressly agree that the foregoing waiver of liability, assumption of risk and indemnity agreement is intended to be as broad and inclusive as is permitted by the laws of the State of California and that if any portion thereof is held to be invalid, the enforceability of the remaining Provisions shall not be affected. ACKNOWLEDGMENT OF UNDERSTANDING: I have read this waiver of liability and indemnity agreement, and fully understand its terms and that I am giving up substantial rights, including my right to sue. I understand that this document relieves CAFA and its funders including the County of Sacramento and others from liability for negligence resulting in property damage, personal injury, emotional, disability, and death. I acknowledge and agree that I am signing this agreement freely and voluntarily, and intend by my signature for this to be a complete and unconditional release of liability to the greatest extent allowed by law.
As a child, I agree that I will participate in the drop-off program, display a positive attitude, and conduct myself appropriately at all times. I will respect all other participants, advisors, and staff. I will follow instructions from all adults and staff. I will not bring or use a cell a phone during the event. I will follow the dress code. I will not enter any buildings that I am not supposed to be in. I will not bring highly valuable items to the event. If I do bring valuables, I accept full responsibility for those items. I will not use language or behavior that is obscene, violent, or racially or sexually inappropriate. I will not possess or use firearms, weapons, pocket knives and/or firecrackers. I will not bring skateboards, scooters, or roller blades. I will respect event property by keeping the facilities clean, and not using items such as water balloons, shaving cream, and toilet paper for destructive purposes. I accept responsibility for damages I cause. I understand that failure to meet with these standards will result in these steps: I will call my parents/guardians and report my conduct not in compliance with these guidelines. At the Director’s discretion, this may result in my parents/guardians arranging transportation home.
Yes, I agree, understand and acknowledge, to the Waiver and Release for all that are registered: Parent/Guardian Signature:*

Clear
Date of Signature*

MonthDayYear
Date
(VOLUNTARY/OPTIONAL) I further understand and agree that:• Photographs, pictures, slides, movies, voice, or videos may be taken in connection with participation in the activity without compensation from CAFA or the County of Sacramento, and I consent to the use of photographs, pictures, voice, names, slides, movies, or videos for any legal purpose.*
It is important to stay home when sick until at least 24 hours after there is NO longer a fever or signs of a fever (chills, feeling very warm, flushed appearance, or sweating) without the use of fever-reducing medicine.*
Should be Empty:

DATE: November 9th, 2025

Parents Information

Enrollment Form/Waiver and Release