Architect kidz 2

Please fill out this form.  Class cannot start untill all forms are received.

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Registration Form

Release and Waiver

   
     
     
   
 
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PHOTO RELEASE.  I give permission for my children to be photographed or filmed by KE101, Inc. and the press (television, magazines, newspapers) for the purpose of highlighting KE101 acivities.  I understand that such photographs or films may be used in newsletters, magazines, brochures, the website and press releases or by the media for publication and use.

WAIVER.  The undersigned, and in the event the undersigned is under 18 years of age, the undersigned's parents or guardian, for and in consideration of the granting of permission by Kidz Engineering 101, Inc. for the undersigned to participate in the following program: Kidz Engineering 101, Inc. Camps and Classes sponsored by Kidz Engineering 101, Inc., hereby hold(s) harmless and release(s) and forever discharge the Kidz Engineering 101, Inc. directors and board advisers and the officers and employees thereof, either in their individual capacities or by reason of their relationship to Kidz Engineering 101, Inc. and their successors, from any and all claims and demands whatsoever which the undersigned, and any of them, or any third persons, and the representatives thereof, or any persons acting on their behalf have or may have against the said officers and their employees by reason of accident, illness, injury to or death of any person or persons, or damage to or loss or destruction of any property arising or resulting directly or indirectly from the participation in the aforementioned program and occurring during said participation or any time subsequent thereto. 

CANCELATION FEE:  $25.00; $50.00 if cancelling the week prior to the class.

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Hi Irene, Your presentation was just great! Thank you so much for sharing your expertise and passion. The students were captivated and you stimulated new interest and curiosity. Thank you for your kindness and generosity in sharing your time and talent.
Karen Morse, M.A.
The Knox School of Santa Barbara 1525 Santa Barbara St. Santa Barbara, CA 93101 (805) 222-0107 www.knoxschoolsb.org