I hereby cofirm that I am the legal guardian of the student named above and
hereby give consent for my child to participate in Confident
Kid Club, LLC’s programs. I agree to release, hold harmless and waive all
claims and causes of action that may hereafter accrue to me against
Confident Kid Club, LLC, the co-founding partners and substitute instructors
associated with any injury that may be caused as a result of any action other
than the sole negligence of Confident Kid Club, LLC, and the co-founding
partners and substitute instructors. I further agree to indemnify and hold
harmless Confident Kid Club, LLC, the co-founding partners and substitute
instructors, from any action or inaction of my child that may cause any injury
or damage whatsoever. I hereby give full permission for my child to
participate in all activities and agree to notify group leaders of any
precautionary measures that should be noted or taken during group classes.
In the event of any injury to my child, I hereby grant full power of attorney
to Confident Kid Club, LLC, the co-founding partners and substitute
instructors to obtain any emergency medical treatment they (in their sole
discretion) deem necessary in the best interest of my child. I will assume
responsibility for fees incurred by such an emergency.
I hereby grant Confident Kid Club, LLC, permission to take photographs of my child and publish on their website and in printed promotional materials.
- Payment of Fees
Please note: payment for classes is due in full before first session. Please see our How to Pay page for detailed instructions on submitting your payment.
Click the "Submit" button below to submit this form. You will see a confirmation notice at the bottom of this page if your submission was successful. Any missing information will be highlighted in red. Please make sure the above form is filled out completely and that your submission is confirmed at the bottom of the page. You will also receive an email to the address you provided above upon successful registration.
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