To register, please type your information in the appropriate box. You will be asked to confirm your information at the next step.
PARENT CONTACT INFORMATION
First Name of Parent:	Last Name of Parent:
Street Address:
City:
State:	Zip Code:
Your E-Mail Address:	Home or Cell Phone Number:
Number of Kids that will attend:
What Church do you attend (if any)?
School Your Children Attend (separate multiple schools with comma):
Child Liability Waiver & Medical Release Statement I consent to the participation of the named child in KidsGames. I fully understand the nature of this event and verify that the child is physically fit to participate. In the event of sickness or some medical emergency, I request that my child receive medical attention or treatment deemed necessary. I understand that I am responsible for all expenses and charges for the treatment and care of my child. I acknowledge that I possess my own health insurance. In the event that I am not present at the time of the emergency or cannot be contacted, my care has been entrusted to the staff and designated ministry leadership of KidsGames. I absolve KidsGames and all its affiliated adults, ministries and organizations, from negligent conduct. I also authorize KidsGames permission to use any photos or videos of myself or the child named for advertising, promotion, or other purposes. Waiver: I have Read and Agree with the Child Waiver and Release Statement
EMERGENCY CONTACT INFORMATION
First Name of Contact:	Last Name of Contact:
Phone Number (preferably cell):
Relationship to Child

2008 Program

2008 Locations

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