Register for Preschool Event!
This form allows for you to register for Mickey and Minnie's Clubhouse Playdate as well as sign our waiver. Be sure to fully submit the form for your registration to be completed.
Childs Name
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First Name
Last Name
Child's Birthdate
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Month
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Day
Year
Date
Guardian's Full Name
*
First Name
Last Name
Your Email Address
*
example@example.com
Emergency Contact Number
*
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Preschool Event
Mickey & Minnie, Nov 15
$
20.00
Quantity
1
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Credit Card
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Release of Liability
As legal guardian of my designated student(s) (student(s)), I hereby consent to all the listed student(s) participating in this facility's program(s). I recognize that potentially severe injuries can occur in any activity involving height or motion, including tumbling and related activities including cheerleading, tumble tramp, trampoline, stunting, pyramids, dance, swimming, martial arts, gymnastics and physical activity in general. I understand that it is the express intent of all staff and personnel to provide for the safety and protection of my student(s) and, in consideration for allowing my student(s) to use these facilities, I hereby COVENANT NOT TO SUE and FOREVER RELEASE this facility, affiliated and partner companies and organizations, property owners and lessors, staff, contractors, subcontractors, teachers, coaches, owners, directors and other members involved in this facility's program(s), from all liability and for any and all damages and injuries suffered by my student(s) during instruction, supervision, and/or control during any and all classes or extra activities. By signing below I agree to ALL of the above statements and understand that any pictures taken while participating at Victory events may be used for marketing and social media material.
Signature
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Date Signed
*
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Month
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Day
Year
Date
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