Kalimah Programs' Event Registration Form

Kalimah Programs' Event Registration Form

Child and Family Event Registration
The Arab-American Heritage Festival on April 27th is fully booked as of April 18th. Registrations for the waiting list will be accepted, but entry is not guaranteed.

https://bit.ly/AAHFest
Name of event and date*
Participant's Name*

First NameLast Name
Participant's Date of Birth*

MonthDayYear
Applicants under 8 years old must be accompanied by an adult caregiver at events.
FemaleMale
Parent's Name

First NameLast Name
Phone Number
Email*

Confirmation EmailImportant event info may be sent by email, so please make sure it's a working email that you check frequently.
Address*

Street Address

Street Address Line 2

CityState

Zip Code

Other Participants in the Same Family

Rows	Full Name (First Name Last Name)	Date of Birth (MM-DD-YYYY)	Gender (M/F)
Participant 2
Participant 3
Participant 4
Participant 5
Participant 6

Allergies, Special Needs, and/or Accommodation Requests
If any, please include an emergency contact other than the participant/parent.
Comments/Questions
Waiver and Photo Release Consent Signature*

Clear
I UNDERSTAND THAT THERE ARE INHERENT DANGERS INVOLVED IN PARTICIPATION IN PROGRAM ACTIVITIES. I AM AWARE OF THE RISKS AND HAZARDS RELATED TO THESE ACTIVITIES. I UNDERSTAND THE RULES AND REGULATIONS FOR EACH ACTIVITY, AS EXPLAINED IN ANY WRITTEN OR EMAILED MATERIALS AND/OR EXPLAINED BY STAFF/VOLUNTEERS. I GIVE MY CHILD PERMISSION TO PARTICIPATE IN ALL KALIMAH ACITIVITES. I RELEASE, HOLD HARMLESS, AND INDEMNIFY KALIMAH AND ALL OF ITS STAFF, VOLUNTEERS, AND AFFILIATES FROM AND FOR ANY CLAIM, INJURY, OR OTHER LIABILITY OF ANY KIND WHICH IS CAUSED DIRECTLY BY PARTICIPANT, OR WHICH RESULTS FROM OR DURING MY CHILD'S PARTICIPATION IN THE PROGRAM. ON BEHALF OF THE CHILD/PARTICIPANT, I HEREBY CONSENT TO THE USE OF PHOTOGRAPHS, VIDEO FOOTAGE, AND CLASSWORK OF THE PARTICIPANT IN PUBLICATIONS, WEBSITE, AND OTHER MEDIA RELATED TO KALIMAH PROGRAMS.
Should be Empty:

The Arab-American Heritage Festival on April 27th is fully booked as of April 18th. Registrations for the waiting list will be accepted, but entry is not guaranteed.