I, the undersigned and/or parent/guardian of the individual(s) named above, do hereby agree to indemnify and hold harmless Kids Impact Community, and its agent from and against any and all liability resulting from participation in the project listed above. I understand that the project(s) in which I am enrolling, like all activity programs, has some inherent risk, for which I agree to assume the liability. Furthermore, the individuals named herein are in good health appropriate for the activities in which they will be participating. 

For KIC promotion purposes, photographs may be taken of participants. If you do not wish to have your photo taken, please notify the photographer or instructor. No names or any other identifying information will be shared if the photograph is used, unless requested.