Wiggles with Karla - Easter Sunday

Wiggles with Karla - Easter Sunday

Please fill out the following registration before getting to the fun!
1:Child Information
Child(ren's) Name & Age*

NameAge
Child(ren's) Name & Age

NameAge
Child(ren's) Name & Age

NameAge
Child(ren's) Name & Age

NameAge
Parent/Guardian Information
Parent/Guardian Name & Number*

NamePhone Number
Parent/Guardian Email Address*
example@example.com
Parent/Guardian Name & Number

NamePhone Number
Parent/Guardian Email Address
example@example.com
Consent Acknowledgment
YesNo
Liability Waiver

I agree that I am responsible for the supervision, conduct, and well-being of myself and my child/children (or the child/children in my care). I release and hold harmless Karla De La Hoz, Wiggles With Karla, and any partner organizations (including The Well) from any claims or liability arising from our participation in Wiggles With Karla activities. I voluntarily participate in Wiggles With Karla activities and agree to follow all program rules and instructions.

Please note he event is first come, first served. Tickets indicate interest only. This event will take place in the Wellington Event Venue

By signing below, I confirm that I am at least 18 years old, legally able to provide consent, and am signing voluntarily. I understand the risks involved and agree to participate under these terms. I also understand that I may request a paper copy of this waiver if preferred.
I have read and consent to the waiver
Sign to confirm that you have read this form entirely and agree with it.*
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Wiggles with Karla - Easter Sunday

1:Child Information

Parent/Guardian Information

Consent Acknowledgment