Leave a Comment / News & Events / By admin123 Contact Inforation Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin E-mail Address where you'd like to receive confirmation and information: Choose Your Session*: Sept. 16 - Nov. 4Oct. 28 - Dec.16Jan. 6 - Feb. 17Feb. 24 -April 6April 13 - May 18 Who will be picking the student? Student Information Date of Birth: 010203040506070809101112 01020304050607080910111213141516171819202122232425262728293031 201520142013201220112010200920082007200620052004200320022001200019991998199719961995 Gender: MaleFemale Consent Statement As the parent/guardian of the above-named student, I certify that my child/ward has my permission to attend and participate in the Kids-N-Technology (KNT) computer program and that he/she elects to engage in all program activities, at his/her own risk and hereby consent to hold harmless and release KNT and its owners, successors, agents, and employees from any and all liability that may accrue from personal injuries to said applicant. I also understand that if my child does not conform to the behavior expectations and rules of the program, KIT reserve the right to dismiss my child/ward and that there shall be no refunds for such dismissal. I further understand that I will be responsible for any personal or property damage incurred by my child/ward while participating program and that KIT is not responsible for personal belongings lost, damaged, or stolen.Furthermore, I understand that KNT often takes photographs or videos of participants during its activities or events. I grant permission without compensation that these photographs or videos may be used in publications, presentations, websites or promotion of KNT. Finally, KNT will not identify me or my child by name, or release any other personal information without additional written permission from me. Electronic Signature: By entering my name below, I accept the above conditions and releases. (You must be 18 years old or over to sign below.) *