PLEASE FILL OUT THIS WAIVER FORM 5:00 pm Family Olympics This field is hidden when viewing the formNext Steps: Install a Payment Add-OnTo accept payments on this form you will need to install one of our payment add-ons. To learn more about your payment add-on options, visit the following page (https://www.gravityforms.com/blog/payment-add-ons). Important: Delete this tip before you publish the form.Contact DetailsParent's Name(Required) First Last Email(Required) Phone(Required)First Child's Name(Required) First Last AgeGradeSecond Child's Name First Last AgeGradeAddress(Required) Town HKYFS CommunicationsHow did you hear about this event?Social MediaHK NowSchool NewsletterEmail from HKYFSHKYFS WebsiteA friendWould you like to receive once a month emails about other HKYFS events? Yes No Consent(Required) I hereby covenant and agree to release and hold harmless Youth and Family Services of Haddam-Killingworth (HKYFS), and it's agents, from and against any and all liability, loss, damage, claims, or actions (including costs and attorney fees) for bodily injury and/or property damage, to the extent permissible by law, arising out of participation in an HKYFS sponsored activity. I understand participation in a recreational activity may involve rigorous physical activity and risk of physical injury, and I assume these risks.Photo Release - Photo Release - We like to share the great things we are doing in our community whether on the HKYFS website, social media, or HK Now. Can we include your child in photos?(Required)(Required) Yes No NameThis field is for validation purposes and should be left unchanged. Δ
