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Winterfest 2024 Registration

Winterfest 2024, Saturday, December 14, 10 am: Stanley Klett Sr. Eighth Annual Winterfest Carnival presented by Speak Up For Kids - The event includes craft stations, activities, food, a visit from Santa Claus, character photo ops, holiday gifts, Adrenaline and a few surprises. The event is free for "our kids" (dependency - relative, foster, non-relative, group homes etc).  Registration is for children living/residing in your home + caregiver(s).  If you have more than 5 children residing in your home you will need to fill this out a second time with the additional children.

Email of caregiver bringing
1 or 2?
Caregiver role
Names of the case manager(s) for the children attending if your case is closed please tell us a bit of your situation
Total number of children attending from your home
Child 1 relation
N/A if not applicable
Child 2 relation
N/A if not applicable
N/A if not applicable
N/A if not applicable
N/A if not applicable
Child 3 relation
N/A if not applicable
N/A if not applicable
Child 4 relation
N/A if not applicable
N/A if not applicable
N/A if not applicable
N/A if not applicable
Child 5 relation
N/A if not applicable
Liability Realease
I, the listed participant, desire to work as a volunteer for Speak Up For Kids and engage in the activities related to participating in Winterfest. I hereby voluntarily, execute this Waiver under the following terms: I, the participant, release and hold harmless Speak Up For Kids and its successors from any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from my volunteer work with Speak Up For Kids. I understand that this Waiver discharges Speak Up For Kids from any liability or claim that I, the Volunteer, may have against Speak Up For Kids with respect to bodily injury, personal injury, illness, death, or property damage that may result from my participation on the Speak Up For Kids work site. I also fully understand that Speak Up For Kids does not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to medical, health or disability insurance, in the event of injury, illness, death or property damage. I, the participant, understand that I expressly waive any such claim for compensation or liability on the part of Speak Up For Kids beyond what may be offered freely by the representative of Speak Up For Kids in the event of such injury or medical expense. I hereby release Speak Up For Kids from any claim whatsoever which arises or may arise in the future on account of any first aid treatment or other medical services that are conducted in connection with an emergency during my time with Speak Up For Kids. I grant unto Speak Up For Kids all right, title, and interest in any and all photographic images and video or audio recordings that are made by the Organization during my work with the Organization, including, but not limited to, any royalties, proceeds, or other benefits that are derived from such photographs or recordings. I expressly agree that this Waiver is intended to be as broad and inclusive as permitted by the laws of the State of Florida in the United States of America, and that this Waiver shall be governed by and interpreted in accordance with the laws of the State of Florida. I agree that in the event that any clause or provision of this Waiver shall be held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of this Release which shall continue to enforceable. By electing to click agree I am submitting my signature and accepting this agreement.
Media Release
Speak Up For Kids Photography, Video and Biographical Information Release - please note that this is a standard release and will not identify any child specific relationship ie "normalcy" I, the listed participant grant permission to Speak Up For Kids to use photographs and videos taken of me (and my child, if applicable) for use in publications such as marketing, direct mail, brochures, newsletters, magazines and all other press and to use the same on displays of any kind, and to use the same in electronic format of any kind, such as the internet, movies, films, television, radio and social media platforms and to offer them for use or distribution in other publications, electronic or otherwise, without notifying me. I give permission for photos to be taken of me (and my child) on any occasion on the premises of Speak Up For Kids property or at any functions related to the services of either Speak Up For Kids. I waive any right to inspect or approve the finished photographs, videos, profiles, and/or printed or electronic matter that may be used now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the photograph(s) or stories. I agree to release, defend, and hold harmless Speak Up For Kids and its agents or employees, including any firm publishing and/or distributing the finished product in whole or in part, from and against any claims, damages or liability to me, my successors, heirs or assigns, arising from or related to the use of the photographs and videos, including but not limited to any misuse, distortion, blurring, alteration, optical illusion or use in composite form, either intentionally or otherwise, that may occur or be produced in obtaining, processing, or production of the finished product, its publication, or distribution, unless such damage or liability is the result of gross negligence on the part of Speak Up For Kids. I understand that this release pertains to certain important legal rights which I am waiving for me (and my child) through the execution of this Release, and that this release applies to all of my successors, heirs, and assigns. I am 18 years of age or older and I am competent to contract in my own name. I have read this release before signing below, and I fully understand the contents, meaning and impact of this release. I have had the opportunity to have this release reviewed by an attorney of my own choice prior to signing. All of my concerns regarding this release have been resolved prior to signing. By electing to click agree I am submitting my signature and accepting this agreement.

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