KIDZ CENTRAL – REG & RELEASE "*" indicates required fields Parent / Guardian InformationParent / Guardian Name* First Last Email* Phone*Address* Street Address City ZIP / Postal Code Emergency Contact InformationEmergency Contact Name* First Last Emergency Contact Phone*Athlete InformationChild's Name* First Last Date of Birth* Month Day Year AUTHORIZATION AND RELEASEAuthorization and Release*I/we understand that by participating at KIDZ Central/ Spirit Central, Inc. and or by joining KIDZ Central/Spirit Central, Inc., either on a team, classes, individual or any other activities/participation, there is a possibility of injury to my daughter/son. With this understanding, I give my child permission to participate and attend any activities held at KIDZ Central/Spirit Central, Inc. I/we the undersigned parents/legal guardians agree to forever release the KIDZ Central/Spirit Central, Inc. owners, Board of Directors, Coaches, Employees & Volunteers from any claims, actions, right of action, damages, costs, loss of service, expenses, compensations and attorney’s fees that may have risen in the past, or arise from the future, directly or indirectly from known or unknown personal injuries due to participation in any and all programs, classes, or activities associated with or at KIDZ Central/Spirit Central, Inc. We further release against any and all legal claims and proceedings of any description that may have been asserted in the past, or may be asserted in the future, directly or indirectly, including damages, costs and attorney’s fees arising from my child’s participation with KIDZ Central/Spirit Central, Inc. in the gym or while participating in activities. I/we further confirm that we have read this consent and release liabilities and that I/we understand the contents of this agreement. I/we understand that my child’s participation in this event is voluntary and that participants are free to not participate in KIDZ Central/Spirit Central, Inc. programs/events. I/we understand that if I/we do not follow all the rules set forth by KIDZ Central/Spirit Central, Inc. owners, coaches and staff, that my child’s membership from KIDZ Central/Spirit Central, Inc. may be terminated. All membership fees are non-refundable. I understand that being involved in any activities at KIDZ Central/Spirit Central, Inc. that my child’s photo and/or may appear in advertisement, flyers, videos and/or the KIDZ Central/Spirit Central, Inc. website or social media sites. I understand that Full names will be omitted. I agree to the statement above.Please List Any physical/psychological limitations, injuries or weaknesses that may affect the athlete.*Signature*Date* Month Day Year
