| Kidzfun Class Registration! |
Click here for a printer-friendly Registration Form (PDF Format will open in another browser
Feel free to email this completed form to mytree8@aol.com )
CHILD/REN'S NAME ___________________________________ AGE _________________
PARENTS’ NAME____________________________________________________________
ADDRESS _________________________________________________________________
_________________________________________________________________
HOME PHONE: __________________________ CELL PHONE: ________________________
EMAIL: ___________________________________________________________________
HOW DID YOU HEAR ABOUT KIDZFUN? ___________________________________________
EMERGENCY CONTACT: _____________________________ PHONE: __________________
I, __________________________________, (parents’ names) hereby release, hold harmless and
indemnify Theresa McLennan, KIDZFUN, and Pedros Judo Center from any and all lost, claim, damage,
or injury of any kind whatsoever which may occur as a result of my use of the facility located at Pedros
Judo Center. 19 New Salem St., Wakefield, MA. I understand and acknowledge that said released shall
include all injury or damage of any kind whatsoever whether to person, property or otherwise.
Date __________________ Signature: ____________________________
Thank You! Signature: ____________________________
Theresa McLennan
23 Spring Street
Saugus, MA 01906
(781) 558-5084
PHOTO/VIDEO RELEASE FORM
I hereby give permission for images of my child, captured during regular and special Kidzfun activities
through, video, photo and digital camera, to be used solely for the purposes of Kidzfun promotional
material, publications, and newspaper releases and waive any rights of compensation or ownership
thereto. I understand that my child’s name will not be used without my permission.
Name of Participant (please print): ________________________________________________
Name of Parent/Guardian (please print): ____________________________________________
Parent/Guardian’s Signature: ____________________________________________________
Date: ______________________
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