Registration
Grab your favorite doll and get ready for a day filled with doll-themed treats, mini-sandwiches, craft time with friendship bracelet making, photo shoot, ice cream sundaes and cupcake fondue station. We are so excited for this event! Ages 2 years old and up! $30 per child - limited spots! Have some fun with your BFF!
Event:
Start Date/Time: End Date/Time:
Fee per Family: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type*
Home Phone:* Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info*
 
 
 
Questions/Options:
How old is your child? *
 
Additional Information:
 
Legal liability waiver
Legal Liability and Medical Release Form

" I am the legal guardian/parent and I fully understand that I am responsible for payment of expenses incurred relating to my child's medical treatment as a participant in the activities at the United Center.

" I certify that my child is physically capable of participating in United All Stars,L.L.C. event "A Date with your Doll" and has no previous injuries that will effect participation.

" I hereby have been forewarned that participation in United All Stars,L.L.C. event "A Date with your Doll" has the following non-exhaustive list of particular risks and injuries including but not limited to: sprains, strains, abrasions, dislocations, fractures, concussions, contusions, blisters, head and neck injuries, illness and even possible death.

" Having been forewarned, I assume all risk and full responsibility in connection with the event "A Date with your Doll" and hereby release all instructors, staff, volunteers, practice and performance facilities, and others involved with the United Center from any injury that may befall my child.

" I agree to hold harmless United Center for any injury incurred as a result of my child's participation.


" I give permission for any medical treatment necessary in the event of illness or injury at the United Center or any event we participate in with United All Stars, L.L.C.

" I have provided accurate information to the best of my knowledge regarding my child's health and have alerted the staff of United All Stars, L.L.C with any medical concerns.

" I have read, agree to, and fully understand the information and risks and agree to all payments required for my child as a participant of the event "A Date with your Doll".

" I grant my child permission to be photographed, videotaped, or interviewed for the website, publications or press.

I have read, agree to and fully understand the information and risks involved in United All Stars and agree to ALL payments required for my child to participate in the "A Date with your Doll".

I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*