Emergency Contact and Liability Release

Stepping Stone School Pflugerville
Fri, Jan 31, 2025 - Ongoing
Stepping Stone School Pflugerville
Enrollment: $75.00/kid/month
Event requires a yearly registration fee of $35.00 (per kid).
Kid(s)
Parent / Guardian Emergency Contact

Photos and video taken of children participating in our fun classes are used within the program participants and partner organization (e.g. the child’s school) showcasing the engaging activities of which your kiddo is part. The images and video are routinely provided for parent access. The images and video may also be included on Kidokinetics.com and other promotional materials outside of the school. No child’s name is disclosed with promotional images.

All images and video are the sole property of Kidokinetics, Inc. By checking this box, you are stating that you authorize the use of your child(ren)’s images and video by Kidokinetics on the Kidokinetics.com website or other promotional materials, including brochures, pamphlets, social media postings, or news articles. You also acknowledge that these images/video are the property of Kidokinetics. And that no royalties or payments are due in connection with their use. If you do not wish to authorize the use of images/video of your child(ren) by Kidokinetics for promotional use, please leave this box unchecked.

Parent / Guardian e-Signature

By completing this registration, on your own behalf and on behalf of the child(ren) registered, hereby release Kidokinetics from any and all liability arising out of or connected with the registered child(ren)’s participation in any Kidokinetics program, even such liability that may arise due to negligence or carelessness on the part of Kidokinetics, its officers, agents, or employees, and further, on behalf of yourself and the child(ren) listed above, waive any and all claims of any kind against Kidokinetics, its officers, agents or employees arising from or in connection with the services provided by Kidokinetics as part of its programs.

By completing this registration, you consent to be contacted by Kidokinetics. Kidokinetics communicates information by calls, text, and email. You agree to receive calls, text messages, or emails from Kidokinetics at the contact information provided. Message rates may apply. Text STOP to cancel text messaging at any time.