KIC Registration Form
Phone
Family Name
Parents' First
Names
E-mail
Mailing Address
1st child's class choices
1st child's name
2nd child's class choices
2nd child's name
3rd child's class choices
3rd child's name
4th child's name
4th child's class choices
5th child's name
5th child's class choices
6th child's name
6th child's class choices
Release of Liability
In sending this form I am electronically signing as a parent or legal guardian of the children listed
participating in HOT Homeschooler’s KIC, I give my permission for his/her/their participation in all HOT
Homeschooler’s KIC activities. This is to include transportation to and from any scheduled or
non scheduled field trips. I assume, all risks and hazards incidental to HOT Homeschooler’s
KIC participation and do hereby waive, release, absolve indemnify and agree to hold blameless
HOT Homeschooler’s KIC, chosen facilities, teachers, supervisors and participants. Further,
I assume responsibilities and financial liability for any damage to property or injury to
individuals caused by me or my children, as well as injury or damage to my own property or
injuries to family members incident to participation in HOT Homeschooler’s KIC functions
I have read,understood and agree with
the release of liability AND KIC policies.
Parent's Full
Name/Signature
If there is an issue (class full,closed,etc) with the student's
choices,we will attempt to call to find a second choice.
Please do not call regarding schedules. Students' class
schedules will be listed on the website late August.