Kids with Microscopes event registration form Please enable JavaScript in your browser to complete this form.Name *FirstLastEmailHow many kids will come to the Kids with Microscopes? *OneTwoThreeFour and aboveWhich of the following age groups you or your kids belong to? *Kindergarden and younger1st grade to 5th grade6th grade to 8th grade9th grade and aboveMultiple age groupsIf you have multiple kids from more than one age groups, pick the last choice, “Multiple age groups”. Will you bring your own sample for Scanning Electron Microscopy imaging? Sample size limitation is 2cm x 2cm x 2cm. *Are you interested in volunteer opportunities? *Yes, I want to help the Kids with Microscopes event. (If select yes, you will be contact by our “Kids with Microscopy” volunteer committee.)Yes, I am interested in volunteer opportunities at the Oklahoma Microscopy Society.(If select yes, you will be contact by our OMS volunteer committee.)No, I am not interested in any volunteer opportunities.Are you interested in receiving more information of OMS or future events organized by OMS?Yes, I would like to join the Oklahoma Microscopy Society. Please apply for the membership from www.OKMicroscopy.org.Yes, I would like to receive more information from OMS.No.I have read and agree to the Terms of Service *I have read and agree to the Terms of Service *Kids with Microscopes April 4th, 2024 Universal Permission Form Parental Consent I give permission for my child (ren), to attend and participate in “Kids with Microscopes” event organized by the Oklahoma Microscopy Society on April 4th, 2024. Liability Release In consideration of Oklahoma Microscopy Society allowing my child (ren) to participate in the event of the Kids Night with Microscopes, I, do hereby release, forever discharge and agree to hold harmless Oklahoma Microscopy Society, its directors, employees, volunteers and teachers (collectively herein the “OMS”) from any and all liability, claims or demands for accidental personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by me and my chid (ren) while involved in the event of Kids with Microscopes. I, the parent or legal guardian of my child (ren) hereby grant my permission for my child (ren) to participate fully in the event of Kids with Microscopes. Furthermore, I, on behalf of my minor child (ren), hereby assume all risk of accidental personal injury, sickness, death, damage and expense as a result of participation in the event of Kids with Microscopes. I further hereby agrees to hold harmless and indemnify said Oklahoma Microscopy Society for any liability sustained by said Oklahoma Microscopy Society as the result of the negligent, willful or intentional acts of my child (ren), including expenses incurred attendant thereto. Medical Treatment Permission I authorize an adult, in whose care the minor has been entrusted, to consent to any emergency x-ray examination, anesthetic, medical, surgical or dental diagnosis or treatment and hospital care, to be rendered to the minor under the general or special supervision and on the advice of any physician or dentist licensed under the provisions of the Medical Practice Act on the medical staff of a licensed hospital or emergency care facility. I shall be liable and agrees to pay all costs and expenses incurred in connection with such medical and dental services rendered to the aforementioned child or youth pursuant to this authorization. Oklahoma Microscopy Society Photo Release Form for Children and Youth I agree that Oklahoma Microscopy Society may photograph and record my child/dependent’s likeness and activities (Images) during the vent of Kids with Microscopes. I grant the following rights to Oklahoma Microscopy Society: permission to use and re-use, publish and re-publish, and modify or alter the Image(s) taken during the shoot. Use of the Images for editorial, commercial, trade, advertising, and any other purpose may be done in any medium now existing or subsequently developed, on the Oklahoma Microscopy Society website and on the Internet, and worldwide in perpetuity for the purposes stated above. I waive my right to inspect or approve any editorial text or copy that is used in connection with the Images and release and discharge Oklahoma Microscopy Society from any and all claims arising out of use of the Images for the purposes described above, including any claims for libel, invasion of privacy, or other tortuous act. I have read the foregoing. I fully understand its contents, understand that this agreement does not expire, and confirm my agreement by signing below. I am over the age of 21 and have legal capacity to sign the release. WebsiteSubmit