Name of Host/Parent(s)* First Last Name of Birthday Child/School/Organization* First Last Venue* Event Date* MM slash DD slash YYYY Event Start Time : Hours Minutes AM PM AM/PM Event End Time : Hours Minutes AM PM AM/PM Type of EventChoose an eventAll StarMVPHall of FameExtras Party Time Signed Ball Party Favors Lifeguards Water Ballons Event ThemeChoose an event themeBasketballAll-SportsSports and SwimSchool GraduationHoliday EventPrimary Contact Person* First Last Home Phone*Cell Phone*Email Grade/Age of Participants Total $0.00 Cash Balance due upon completion I agree I agree that you may utilize photographs, testimonials, email addresses, and information relating to my child's participation in CMEK activities on your web site and other CMEK publicity and literature. I hereby authorize the agents of CMEK ALLSTARS INC., to act for me according to his/her best judgment in any emergency requiring medical attention. I hereby release, discharge and indemnify CMEK ALLSTARS INC., staff, affiliated entities and their officers, agents and employees from and against any and all claims, liability, causes of actions, lawsuits or awards arising out of or in connection with my or my child's participation in the program. Δ
