I hereby submit my application for registration KIMS USA Kick or Treat PARENTS NITE OUT at Kim’s USA. I agree to waive claims against any persons connected with the KIMS USA for injuries I may sustain. Likewise I take full responsibility for all my actions in connection with said KIMS USA Kick or Treat PARENTS NITE OUT. I agree to waive all claims against any persons for medical care or advise I may receive. I understand that any pictures of me participating in said KIMS USA Kick or Treat PARENTS NITE OUT may be used for further publicity without compensation. The fees are non-refundable.