**Online Birthday Waiver Form

Parent's First Name *
Parent's Last Name *

Emergency Phone *

Email *

Up to two children (per family) can be entered on this waiver. If more children need to be entered please submit a second party waiver.

Child's First Name *

Child's Birthdate (mm-dd-yyyy) *

Child's First Name

Child's Birthdate (mm-dd-yyyy)

Host Family's Last Name *

Party Date (mm-dd-yyyy) & Start Time *

Permission and Release Agreement:

I hereby authorize/consent myself and/or my child to participate in the above-named Kidcreate Studio activities. I agree not to hold Kidcreate Studio or its representatives responsible for any and all injuries sustained/suffered by the below-named participants during the activities. I also agree to waive any and all rights and claims for damages that I believe I may have against Kidcreate Studio as a result of participation in the activities.

I also authorize/consent Kidcreate to use any photos, images or likenesses taken of myself and/or my child while at a Kidcreate Studio or at a Kidcreate class for presentation under any legal condition, including but not limited to: publicity, copyright purposes, illustration, advertising, and web content. I understand that there shall be no payment for this release. I understand that I may revoke this authorization at any time by notifying Kidcreate Studio in writing.

Do you agree to the above policy? *

YesNo

Is this going to be you or your child's first time with Kidcreate?

Yes, it is!

Would you like us to send you information about why Kidcreate Studio birthday parties are so popular?

Absolutely, send me the party information.

Would you like us to send you information about a Kidcreate Studio Family Membership? Members receive exclusive perks on Kidcreate classes and more!

Yes, send me the membership information!