Volunteers

* I have watched the KiDs Beach Club® Policies and Procedures video and read both the KBC Child Protection Policy and the KBC Statement of Faith. I understand and agree to abide by them.

I understand and agree that neither KiDs Beach Club®, nor its board, representatives, instructors or agents may be held liable in any way for any occurrence in connection with my participating in Beach Club which may result in injury, harm or other damages to me or my family.

As a part of the consideration for being allowed to volunteer and participate in Beach Club, I hereby personally assume all risks in connection with my participation in Beach Club. I further release KiDs Beach Club®, it’s board, instructors, agents and representatives for any injury or damage which may befall me while I am participating in the Beach Club. I further agree to save and hold harmless KiDs Beach Club®, it’s board members, instructors, agents and representatives from any claim by me or my family, estate, heirs or assigns arising out of my participation in Beach Club. I also authorize KiDs Beach Club® to render or obtain such emergency medical care or treatment as may be necessary should any injury, harm or accident occur to me while participating in Beach Club.

I further state that I am of lawful age and legally competent to sign this affirmation and release; that I understand the terms herein are contractual and not a mere recital; and that I signed this document of my own free act and volition. I further state and acknowledge that I have fully informed myself of the contents of this affirmation and release by reading it before I have signed it.

* Check to state you have read and agree to the terms and conditions above

* Last Name

* First Name

* Address

Apt. No.

* City

* State

* Zip Code

* Phone

Alt. Phone

* May we occasionally call the phone number you provided, even if it is a mobile phone, to update you on various KBC activities.

* Birthdate (MM/DD/YYYY)

* Beach Club Location

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Abbett Elementary (Garland ISD, Texas)
Academy at Nola Dunn (Burleson ISD, Texas)
Academy of the Arts at Bransom Elementary (Burleson ISD, Texas)
Achziger Elementary (Mesquite ISD, Texas)
Altruria Elementary (Bartlett City Schools, Tennessee)
Anderson Elementary (Conroe ISD, Texas)
Annistown Elementary (Gwinnett County Public Schools, Georgia)
Arbor Creek Elementary (H-E-B ISD, Texas)
Armstrong Elementary (Garland ISD, Texas)
Austin Elementary (Mesquite ISD, Texas)
Back Elementary (Garland ISD, Texas)
Baileyton Elementary (Greene County Schools, Tennessee)
Barbers Hill Elementary North (Barbers Hill ISD, Texas)
Barbers Hill Elementary South (Barbers Hill ISD, Texas)
Barling Elementary (Fort Smith Public Schools, Arkansas)
Bartlett Elementary (Bartlett City Schools, Tennessee)
Bayless Elementary (Lubbock ISD, Texas)
Beach Club at First Baptist Dover (Hillsborough County Public Schools, Florida)
Beasley Elementary (Mesquite ISD, Texas)
Beaver Math, Science, Technology Center (Garland ISD, Texas)
Bedford Elementary (Trimble County Schools, Kentucky)
Bedford Heights Elementary (H-E-B ISD, Texas)
Bell Manor Elementary (H-E-B ISD, Texas)
Bellaire Elementary (H-E-B ISD, Texas)
Big Springs Elementary (Richardson ISD, Texas)
Biloxi Boys & Girls Club (Clubhouse KiDs, Mississippi)
Black Elementary (Mesquite ISD, Texas)
Blankner Elementary (Orange County Public Schools, Florida)
Blanton Elementary (Arlington ISD, Texas)
Bon Lin Elementary (Bartlett City Schools, Tennessee)
Bowie Elementary (Richardson ISD, Texas)
Bradfield Elementary (Garland ISD, Texas)
Brentfield Elementary (Richardson ISD, Texas)
Bridgeport Elementary (Franklin County Public Schools, Kentucky)
Brock Elementary (Burleson ISD, Texas)
Brookstone School (Private, North Carolina)
Brownsboro Intermediate (Brownsboro ISD, Texas)
Buckley-Carpenter Elementary (Fayette County Public Schools, Tennessee)
Buffalo Gap Elementary (Jim Ned Consolidated ISD, Texas)
Bukhair Elementary (Richardson ISD, Texas)
Bullock Elementary (Garland ISD, Texas)
Burton Hill Elementary (Forth Worth ISD, Texas)
Caillet Elementary (Dallas ISD, Texas)
Caldwell Elementary (Garland ISD, Texas)
Cannaday Elementary (Mesquite ISD, Texas)
Canton Intermediate (Canton ISD, Texas)
Carroll Elementary (Corsicana ISD, Texas)
Carroll Elementary (Southlake-Carroll ISD, Texas)
Carver Academy (IDEA Public Schools, Texas)
Catalina Elementary (Orange County Public Schools, Florida)
Cathelene Thomas Elementary (Slaton ISD, Texas)
Cavanaugh Elementary (Fort Smith Public Schools, Arkansas)
Centerville Elementary (Garland ISD, Texas)
Central Avenue Elementary (Osceola County Public Schools, Florida)
Central Elementary School (Mabank ISD, Texas)
Chandler Elementary (Brownsboro ISD, Texas)
Chandler Intermediate (Brownsboro ISD, Texas)
Charleston Elementary (Charleston Public Schools, Arkansas)
Classical Center at Vial (Garland ISD, Texas)
Clinkscale Elementary (Burleson ISD, Texas)
Club Hill Elementary (Garland ISD, Texas)
Coder Elementary (Aledo ISD, Texas)
Cooper Elementary (Garland ISD, Texas)
Cordova Elementary (Shelby County Schools, Tennessee)
Couch Elementary (Garland ISD, Texas)
Country Place Elementary (Carrollton-Farmers Branch, Texas)
Crestview Elementary (New Boston ISD, Texas)
Crockett Elementary (Weatherford ISD, Texas)
Crockett Elementary School (Goose Creek Consolidated ISD, Texas)
Curlew Creek Elementary (Pinellas County Public Schools, Florida)
Cypress Woods Elementary (Pinellas County Public Schools, Florida)
Daugherty Elementary (Garland ISD, Texas)
Davis Elementary (Garland ISD, Texas)
Donna Park Elementary (H-E-B ISD, Texas)
Dorsey Elementary (Garland ISD, Texas)
Douglass K-8 Optional School (Shelby County Schools, Tennessee)
Dove Elementary (Grapevine-Colleyville ISD, Texas)
Dover Shores Elementary (Orange County Public Schools, Florida)
Duff Elementary (Arlington ISD, Texas)
Eisenhower Elementary (Pinellas County Public Schools, Florida)
EK Key Elementary (Calcasieu Parish Public Schools, Louisiana)
Ellendale Elementary (Bartlett City Schools, Tennessee)
Ethridge Elementary (Garland ISD, Texas)
Eustace Primary/Intermediate (Eustace ISD, Texas)
Fairview Elementary (Fort Smith Public Schools, Arkansas)
Farine Elementary (Irving ISD, Texas)
Florence Elementary (Mesquite ISD, Texas)
Floyd Elementary (Mesquite ISD, Texas)
Frasch Elementary (Calcasieu Parish Public Schools, Louisiana)
Frayser-Corning Achievement Elementary (Achievement School District, Tennessee)
Frazier Elementary (Burleson ISD, Texas)
Freeman Elementary (Garland ISD, Texas)
Galloway Elementary (Mesquite ISD, Texas)
Gentry Elementary (Mesquite ISD, Texas)
George Bush Elementary (Dallas ISD, Texas)
George Washington Carver Elementary (Garland ISD, Texas)
Giddens-Steadham Elementary (Garland ISD, Texas)
Gilbert Elementary (Irving ISD, Texas)
Golden Meadows Elementary (Garland ISD, Texas)
Gray Elementary (Mesquite ISD, Texas)
Hajek Elementary (Burleson ISD, Texas)
Hanby Elementary (Mesquite ISD, Texas)
Handley Elementary (Garland ISD, Texas)
Harby Jr High (Alvin ISD, Texas)
Harper McCaughan Elementary (Long Beach School District, Mississippi)
Harrison Lane Elementary (H-E-B ISD, Texas)
Haslet Elementary (Northwest ISD, Texas)
Havenview Middle (Shelby County Schools, Tennessee)
Hearn Elementary (Franklin County Public Schools, Kentucky)
Heather Glen Elementary (Garland ISD, Texas)
Henrie Elementary (Mesquite ISD, Texas)
Herfurth Elementary (Garland ISD, Texas)
Hickman Elementary (Garland ISD, Texas)
Hidden Lakes Elementary (Keller ISD, Texas)
Highlands Elementary (Goose Creek Consolidated ISD, Texas)
Highlands Elementary (Osceola County Public Schools, Florida)
Hill Elementary (Arlington ISD, Texas)
Hillsboro Intermediate (Hillsboro ISD, Texas)
Hillside Academy for Excellence (Garland ISD, Texas)
Hodges Elementary (Mesquite ISD, Texas)
Holiday Heights Elementary (Birdville ISD, Texas)
Hood-Case Elementary (Alvin ISD, Texas)
Hughston Elementary (Plano ISD, Texas)
Hurst Hills Elementary (H-E-B ISD, Texas)
Ikard Elementary (Weatherford ISD, Texas)
Janie Stark Elementary (Carrollton-Farmers Branch, Texas)
Kate Bond Elementary (Shelby County Schools, Tennessee)
Keeley Elementary (Garland ISD, Texas)
Kelley Elementary (Denver City ISD, Texas)
Kemp Intermediate (Kemp ISD, Texas)
Kemp Primary (Kemp ISD, Texas)
Kimball Elementary (Mesquite ISD, Texas)
Kimberlin Academy for Excellence (Garland ISD, Texas)
Kingsfield Elementary (Escambia County School District, Florida)
La Belle Aire Elementary (East Baton Rouge Parish, Louisiana)
Lakeland Elementary (Lakeland School System, Tennessee)
Lakemont Elementary (Orange County Public Schools, Florida)
Lakeview Elementary (Mabank ISD, Texas)
Lakeview Elementary (Osceola County Public Schools, Florida)
Lakewood Elementary (H-E-B ISD, Texas)
Lamar Elementary (Washington County, Tennessee)
Las Colinas Elementary (Carrollton-Farmers Branch, Texas)
Lawrence Elementary (Mesquite ISD, Texas)
Lawrenceville Elementary (Gwinnett County Public Schools, Georgia)
Lee Longino Elementary (Ferris ISD, Texas)
Liberty Grove Elementary (Garland ISD, Texas)
Lister Elementary (Garland ISD, Texas)
Long Elementary (Terrell ISD, Texas)
Love Chapel Elementary (Unicoi County, Tennessee)
Lummus Intermediate (Ennis ISD, Texas)
Luna Elementary (Garland ISD, Texas)
Lykins Elementary (Celina Elem) (Celina ISD, Texas)
Lyman Elementary (Harrison County Schools, Mississippi)
Mabank Intermediate (Mabank ISD, Texas)
Mackey Elementary (Mesquite ISD, Texas)
Macon Hall Elementary (Shelby County Schools, Tennessee)
Martin Elementary (Crandall ISD, Texas)
Mary Martin Elementary (Weatherford ISD, Texas)
McAnally Intermediate (Aledo ISD, Texas)
McCall Elementary (Aledo ISD, Texas)
McKenzie Elementary (Mesquite ISD, Texas)
McWhorter Elementary (Mesquite ISD, Texas)
Meadow Creek Elementary (H-E-B ISD, Texas)
MetroWest Elementary (Orange County Public Schools, Florida)
Midway Elementary (Seminole County Public Schools, Florida)
Midway Park Elementary (H-E-B ISD, Texas)
Miller Elementary (Arlington ISD, Texas)
Mission Intermediate Grade Center (Coweta Public Schools, Oklahoma)
Mohawk Elementary (Richardson ISD, Texas)
Monday Elementary (Kaufman ISD, Texas)
Montclair Elementary (Garland ISD, Texas)
Moore Elementary (Arlington ISD, Texas)
Moss Elementary (Mesquite ISD, Texas)
Motley Elementary (Mesquite ISD, Texas)
Mound Academy (Burleson ISD, Texas)
Munroe Elementary (Tallmadge City Schools, Ohio)
New Home Elementary (New Home ISD, Texas)
Nocona Elementary (Nocona ISD, Texas)
North Elementary (Lubbock-Cooper ISD, Texas)
North Euless Elementary (H-E-B ISD, Texas)
North Woolmarket Elementary (Harrison County Schools, Mississippi)
Northlake Elementary (Garland ISD, Texas)
Northrich Elementary (Richardson ISD, Texas)
Norwood Elementary (Burleson ISD, Texas)
O'Dell Elementary (Celina ISD, Texas)
Oak Point Elementary (Little Elm ISD, Texas)
Oakwood Terrace Elementary (H-E-B ISD, Texas)
Ocean Springs Upper Elementary (Ocean Springs School District, Mississippi)
OCPS ACE (Orange County Public Schools, Florida)
Orange Center Elementary (Orange County Public Schools, Florida)
Orlo Vista Elementary (Orange County Public Schools, Florida)
Orr Elementary (Fort Smith Public Schools, Arkansas)
Ortiz Elementary (Abilene ISD, Texas)
Overton Elementary (Lubbock ISD, Texas)
Panter Elementary (Paulding County Public Schools, Georgia)
Park Crest Elementary (Garland ISD, Texas)
Peaks Mill Elementary (Franklin County Public Schools, Kentucky)
Pearson Elementary (Garland ISD, Texas)
Pine Street Elementary (Rockdale County Public Schools, Georgia)
Pineloch Elementary (Orange County Public Schools, Florida)
Pirrung Elementary (Mesquite ISD, Texas)
Polk Avenue Elementary (Polk County, Florida)
Pope School (Jackson-Madison County School System, Tennessee)
Porter Elementary (Mesquite ISD, Texas)
Poynter Elementary (Crowley ISD, Texas)
Prairie Creek Elementary (Richardson ISD, Texas)
Prestonwood Elementary (Richardson ISD, Texas)
Price Elementary (Mesquite ISD, Texas)
Quarles Elementary (Long Beach School District, Mississippi)
Range Elementary (Mesquite ISD, Texas)
Raymond E Curtis Elementary (Weatherford ISD, Texas)
Rhea Elementary (Forney ISD, Texas)
Ridgeview Elementary (Washington County, Tennessee)
River Trails Elementary (H-E-B ISD, Texas)
Rivercrest Elementary (Bartlett City Schools, Tennessee)
Roach Elementary (Garland ISD, Texas)
Roanoke Elementary (Northwest ISD, Texas)
Rock Springs Elementary (Orange County Public Schools, Florida)
Rowlett Elementary (Garland ISD, Texas)
Royal Haven i58 (Dallas ISD, Texas)
Rugel Elementary (Mesquite ISD, Texas)
Rutherford Elementary (Mesquite ISD, Texas)
Saffell Street Elementary (Anderson County Public Schools, Kentucky)
Samuel Beck Elementary (Northwest ISD, Texas)
Seabourn Elementary (Mesquite ISD, Texas)
Seagoville Elementary (Dallas ISD, Texas)
Second Street School (Frankfort Independent Schools, Kentucky)
Seminole Elementary (Pinellas County Public Schools, Florida)
Sequin Elementary (Weatherford ISD, Texas)
Sewell Elementary (Garland ISD, Texas)
Shady Brook Elementary (H-E-B ISD, Texas)
Shady Oaks Elementary (H-E-B ISD, Texas)
Shands Elementary (Mesquite ISD, Texas)
Shaw Elementary (Mesquite ISD, Texas)
Sherrod Elementary (Arlington ISD, Texas)
Shorehaven Elementary (Garland ISD, Texas)
Shugart Elementary (Garland ISD, Texas)
Singing River Academy (Pascagoula - Gautier, Mississippi)
Smith Elementary (Forney ISD, Texas)
Smith Elementary Mesquite (Mesquite ISD, Texas)
South Athens Elementary (Athens ISD, Texas)
South Euless Elementary (H-E-B ISD, Texas)
South Orlando YMCA (Orange County Public Schools, Florida)
Southaven Intermediate (DeSoto County Schools, Mississippi)
Southgate Elementary (Garland ISD, Texas)
Southside Elementary (Mabank ISD, Texas)
Spring Creek Elementary (Garland ISD, Texas)
Spring Garden Elementary (H-E-B ISD, Texas)
St Martin Upper Elementary (Jackson County, Mississippi)
Stamping Ground Elementary (Scott County Schools, Kentucky)
STEAM Academy at Stribling (Burleson ISD, Texas)
Stephen F Austin Elementary (Ennis ISD, Texas)
Stephen F Austin Elementary (Goose Creek Consolidated ISD, Texas)
Stephen F Austin Weatherford (Weatherford ISD, Texas)
Stephens Elementary (Garland ISD, Texas)
Stonegate Elementary (H-E-B ISD, Texas)
Stuard Elementary (Aledo ISD, Texas)
Sudderth Elementary (Monahans ISD, Texas)
Sweetwater Elementary (Devils Lake Public Schools, North Dakota)
Tangelo Park Elementary (Orange County Public Schools, Florida)
Tarkington Intermediate (Tarkington ISD, Texas)
Taylor Elementary (Burleson ISD, Texas)
Thompson Elementary (Mesquite ISD, Texas)
Three Points Elementary (Orange County Public Schools, Florida)
Tift Area YMCA (Tift County, Georgia)
Tildenville Elementary (Orange County Public Schools, Florida)
Tioga Elementary (Tioga ISD, Texas)
Tisinger Elementary (Mesquite ISD, Texas)
Toler Elementary (Garland ISD, Texas)
Tosch Elementary (Mesquite ISD, Texas)
Travis Intermediate (Conroe ISD, Texas)
Vandagriff Elementary (Aledo ISD, Texas)
Victoria Walker Elementary (Goose Creek Consolidated ISD, Texas)
Villa del Rey Elementary (East Baton Rouge Parish, Louisiana)
Viridian Elementary (H-E-B ISD, Texas)
Walnut Glen Academy for Excellence (Garland ISD, Texas)
Walsh Elementary (Aledo ISD, Texas)
Warrington Elementary (Escambia County School District, Florida)
Watson Technology Center (Garland ISD, Texas)
Weaver Elementary (Garland ISD, Texas)
Wekiva Elementary (Seminole County Public Schools, Florida)
West Hurst Elementary (H-E-B ISD, Texas)
West View Elementary (Washington County, Tennessee)
Western Elementary (Scott County Schools, Kentucky)
Westpointe Elementary (Orange County Public Schools, Florida)
Westridge Elementary (Franklin County Public Schools, Kentucky)
Wheatley Elementary (Orange County Public Schools, Florida)
Williams Elementary (Garland ISD, Texas)
Wilshire Elementary (H-E-B ISD, Texas)
Wilson Elementary Coppell (Coppell ISD, Texas)
Wilson Elementary Crandall (Crandall ISD, Texas)
Woodlawn Elementary (East Baton Rouge Parish, Louisiana)
Woolmarket Elementary (Harrison County Schools, Mississippi)
Wright Elementary (Weatherford ISD, Texas)
YMCA of Memphis at Faith (Shelby County Schools, Tennessee)
My school isn't listed

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