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Home
About Us
Community
Community Service
Social Service
Kadavu Events
Youth Programs
Malayalam Mission
Contact Us
Membership
Donate
Home
About Us
Community
Community Service
Social Service
Kadavu Events
Youth Programs
Malayalam Mission
Contact Us
Membership
Malayalam Class Registration - Class of 2022 - 2023
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Step
1
of 6
Name
*
First
Last
Email
*
Confirm Email
*
Address
*
Address Line 1
Address Line 2
City
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State
Zip Code
Phone
*
Emergency Contact Name
First
Last
Emergency Phone
*
Emergency Contact's relationship to the child
*
Parent /Legal guardian
Grand parent
Sibling (18 years old)
Other
Next
Waiver Confirmation
*
Accept Waiver
In consideration of you accepting this entry, I, the participant, intending to be legally bound do hereby waive and forever release any and all rights and claims for damages or injuries that I may have against the Event Director, Kerala Association of Delaware Valley organization, Kadavu, and all of their agents assisting with the event, sponsors and their representatives, volunteers and employees for any and all injuries to me or my personal property. This release includes all injuries and/or damages suffered by me before, during or after the event. I recognize, intend and understand that this release is binding on my heirs, executors, administrators, or assignees.
I know that running a road race is a potentially hazardous activity. I should not enter and run unless I am medically able to do so and properly trained. I assume all risks associated with running in this event including, but not limited to: falls, contact with other participants, the effects of weather, traffic, and course conditions, and waive any and all claims which I might have based on any of those and other risks typically found in running a road race. I acknowledge all such risks are known and understood by me. I agree to abide by all decisions of any race official relative to my ability to safely complete the run. I certify as a material condition to my being permitted to enter this race that I am physically fit and sufficiently trained for the completion of this event and that a licensed Medical Doctor has verified my physical condition.
In the event of an illness, injury or medical emergency arising during the event I hereby authorize and give my consent to the Event Director to secure from any accredited hospital, clinic and/ or physician any treatment deemed necessary for my immediate care. I agree that I will be fully responsible for payment of any and all medical services and treatment rendered to me including but not limited to medical transport, medications, treatment and hospitalization.
As it applies to my participation in this race, I agree to abide by the Center for Disease Control (CDC)’s recommendations for the prevention of the spread of COVID-19 and attest to having read the CDC’s guidance at: https://www.cdc.gov/coronavirus/2019-ncov/your-health/covid-by-county.html. I also agree to abide by any COVID-19 distancing and other safety guidelines issued by the state, the community or by this race for my participation in this race.
Further, I grant permission to all the foregoing to use my name, voice and images of myself in any photographs, motion pictures, results, publications or any other print, videographic or electronic recording of this event for legitimate purposes.
This event follows the standard running industry policy: All entry fees are non-refundable. We reserve the right to postpone or cancel the event due to circumstances beyond our control such as a natural disaster or emergency or as required to protect the safety of participants and staff. No refunds will be issued under these circumstances. We reserve the right to change the details of the event without prior notice. I understand that my entry fee is nonrefundable and bib numbers are non transferable.
By submitting this entry, I acknowledge (or a parent or adult guardian for all children under 18 years) having read and agreed to the above release and waiver including the no refund policy.
How did you hear about the Malayalam Class?
*
Kadavu member
Facebook and social media
Whatsapp groups
Friends and Family
Print/Ad Flyers
Race Community Email
How many Children's you would like register
*
How many Hours you can volunteer in a School Year
*
8 hours
12 hours
16 hours
24 hours
Malayalam class is a volunteering effort. All the teachers and assistants work as volunteers, so it is essential to have parents volunteering to sustain this program year after year.
Child's Details - 1
First
Last
Your relationship to the child
Parent/Legal Guardian
Grand parent
Sibling (18 years old)
Other
Child's age - 1
6-11 years old
11-16 years old
Registration Fee - Child 1
*
Registration Fee - Child 1 - $ 100.00
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Add Additional Child - 2
Child's Details - 2
Name
*
First
Last
Your relationship to the child- 2
Parent/Legal Guardian
Grand parent
Sibling (18 years old)
Other
Child's age - 2
6-11 years old
11-16 years old
Registration Fee - Child 2
*
Registration Fee - Child 2 - $ 100.00
Add Additional Child - 3
Child's Details - 3
Name
*
First
Last
Your relationship to the child- 3
Parent/Legal Guardian
Grand parent
Sibling (18 years old)
Other
Child's age -3
6-11 years old
11-16 years old
Registration Fee - Child 3
*
Registration Fee - Child 3 - $ 100.00
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Would you like to add additional donation with this purchase?
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Total
$ 0.00
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Total Payment Amount
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