Pre-Registration for East St. Louis

Saturday, August 10, 2019
10AM - 2PM
East St. Louis City Hall
301 River Park Drive
E. St. Louis, IL

Parent or Guardian Name *
Parent or Guardian Name
Phone *
Phone
As the parent/guardian of the above listed child/children, a minor child/children, authorize and give consent for the child/children (limited to 4 children) to receive a haircut/hairstyling at Craig Blac’s Community Cuts for Kids. I release and discharge Craig Blac, all volunteers, sponsors and affiliates associated with Craig Blac’s Community Cuts for Kids from all claims, liability, demands, lawsuits, damages, costs, and causes of action, known or unknown, fixed or contingent, which I may have or claim to have against Craig Blac, all volunteers, sponsors and affiliates of Craig Blac’s Community Cuts for Kids and further agree not to file a complaint or lawsuit to assert any such claims. This Pre-Registration Release and Waiver includes but is not limited to claims pursuant to any Federal, State or Local laws. I acknowledge I have completely read and fully understand all of the provisions of this Pre-Registration Release and Waiver and I have not relied on any representation, statement, written or oral, not set forth in this document.