Youth Event Registration and Release - Rumpus

Registration, photo/video & liability release 2024

Youth Name(Required)
Responsible Adult (#1) Name(Required)
Responsible Adult (#2) Name
Emergency Contact(Required)
Would you be interested in volunteering for a 2-hour shift?
(For those on the 4-6 shift, it will be ok if they want/need to leave when their kid is ready.)
Would you be interested in volunteering for 1-hour as kids are arriving?
Can images or likenesses of my child be shared in regional or NTUUC publications including the website? Unless you indicate so below, your youth's likeness may appear in regional publications including the website and Facebook. Your youth will not be identified by name.(Required)
Sharing Contact Information: Please check the box to give consent to share your contact info.(Required)
Your "check" confirms your consent.
Liability Release: Please check the box to give consent for youth to participate in the event’s activities.(Required)
Your "check" confirms your consent.
Liability Release: Please check the box to assume liability for your youth to participate in the event’s activities.(Required)
Your "check" confirms your consent.
Payment Method
MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
  
Paying with a PayPal account or looking for other options including Venmo* and iDeal? Please click on the gray "Credit Card" button above and select "PayPal Checkout." (* Note: Venmo will only shown on mobile devices if you have their App installed.)