Gateway 2018 Child Registration Form
Bring your kids! Gateway Burners are a community and community includes children.
Children 12 and under will be admitted to Gateway Burn free of charge. Children 13 to 18 must have a ticket and be registered. A parent/legal guardian or another adult approved by the parent/guardian must supervise minors (all under 18) AT ALL TIMES . There may be subject matter considered inappropriate for minors.

If you bring your children, be prepared to supervise them THE ENTIRE TIME .

The Gateway Burners Organization is not responsible to control what your child is exposed to during the event. It is your responsibility, as the parent(s)/legal guardian(s) of the child, to determine what is appropriate for your child and to manage what your child is exposed to during the event. All minors must be registered prior to the event.

To register your minor, please fill out this Gateway 2018 Child Registration Form. If you have more than one child fill out the form for each child.

DEADLINE is June 1, 2018 for Registration

ENTER THE FOLLOWING INFORMATION:

Your Gateway Ticket Number *
Find your ticket number at Burner Tickets.com
Your answer
Your Full Legal Name
Your answer
Other Names *
Enter any other name(s) you will be using at the event or else enter N/A.
Your answer
Child's Date of Birth *
MM
/
DD
/
YYYY
Child's Ticket Number
If child is under 12 skip this question
Your answer
Child's Full Legal Name *
Your answer
Child Burner Name
Enter any other name your child may be using at the event.
Your answer
Emergency Contact Information *
Your answer
Other Parent/Guardians *
List any other parents/guardians who will be responsible for watching your child.
Your answer
Your Email Address *
Your answer
Allergies/Health Concerns
Does this child you are registering have any serious allergies or other health concerns that you would like to inform us of in case of emergency?
Your answer
Any additional information you would like to share?
Your answer
Submit
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