Kicks for Kids Player Registration
Note: Please register for this new academic year, even if you have volunteered with us before. Thanks!!
Child's Name *
Your answer
Child's Age *
Your answer
Child's Gender *
Please list all medical/physical disabilities of participant.
Your answer
Unisex T-Shirt Size *
All participants receive one free shirt to wear to Kicks for Kids.
Participation ability of participant. *
Please check all that apply.
Required
Primary language of participant *
Required
Parent name *
Your answer
Parent E-mail *
Your answer
Parent phone number *
Your answer
Emergency Contact *
Other emergency contact
Please include the name and telephone number of another emergency contact if you prefer that they be contacted.
Your answer
Please list any dietary restrictions your participant has.
Your answer
Will you allow us to take photos of your child and use them on our facebook page and website? *
Additional Information
Optional - is there anything else we should know about your child?
Your answer
LIABILITY RELEASE: The University of Southern California sponsors various developmental programs for students, staff, faculty and members of our community. In supporting such programs, the University may make certain facilities, services, and personnel available to the participants. However, the University assumes no responsibility for any injury or damage suffered by a participant in connection with the use of such facilities or services. Further, the University assumes no responsibility for any injury or damage suffered by a participant while traveling to and from the event. IN CONSIDERATION OF THE UNIVERSITIES PROVIDING THE FACILITIES, SERVICES AND PERSONNEL AND IN CONSIDERATION FOR THE CONTINUATION OF SUCH ACTIVITIES, THE UNDERSIGNED RELEASES THE UNIVERSITY OF SOUTHERN CALIFORNIA AND ITS PERSONNEL IN ANY CAPACITY FROM ANY AND ALL LIABILITY AND RESPONSIBILITY FOR INJURY OR DAMAGES WHICH MAY BE INCURRED BY THE UNDERSIGNED FROM PARTICIPATION IN SUCH ACTIVITIES. The undersigned further agrees to conform to all rules and regulations adopted by Kicks for Kids relating to the activities. Please type your name below. *
Your answer
How did you hear about KFK?
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