Open Source Summit 2024: Kid's Day Registration Form
The Linux Foundation is pleased to present our annual Kid’s Day at Open Source Summit North America 2023!

Date: Sunday, April 14, 12:00p – 5:00p
Location:  Summit Building | Seattle Convention Center | 435-436
Who: Kids between the ages of 9-18
Cost: Registration is complimentary

*This form should be completed by the participating child's parent and/or guardian*

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How did you hear about the event? *
Child's Name (First & Last) *
Child's Age *
Child's T-Shirt Size *
Required
Does your child own a personal laptop computer? *
Child's Food Allergies/Dietary Needs - including any drug or medicine allergies (if none, please write n/a) *
Child's Medical Conditions we should be aware of (if none, please write n/a) *
Parent/Guardian's Name (First & Last) *
Parent/Guardian's Cell Phone Number *
Parent/Guardian Email Address *
Emergency Contact (Full Name & Cell Phone Number) *
Full Name(s) of Adult(s) who will be picking up child from Kid's Day (IDs will be checked upon pick-up) *
MEDICAL TREATMENT AUTHORIZATION. As the parent or legal guardian of the child named above, I authorize employees of The Linux Foundation or CodeDay, to act as agent for the undersigned, to consent to any medical or surgical diagnosis or treatment, anesthetic or X-ray examination which is deemed advisable by, and is rendered under the supervision of, any licensed medical doctor. I understand this authorization is given in advance of any specific diagnosis or treatment being required. This authorization is given pursuant to the provisions of Family Code section 6910. *
Required
PHOTO & VIDEO RELEASE: By checking this box,  I hereby consent to the photographing of myself and child (under the age of 18), the recording of my voice and the use of these photographs and/or recordings singularly or in conjunction with other photographs and/or recordings for advertising, publicity, commercial or other business purposes for The Linux Foundation. I understand that the term "photograph" as used herein encompasses both still photographs and motion picture footage. *
Required
HEALTH & SAFETY: Please read the Health & Safety guidelines. *
Required
Electronic Signature.  By typing my name below, I indicate I am the parent or guardian of the child name above, and intend to this form as a legally binding document. *
By submitting this form, you understand that the data you include will be submitted to The Linux Foundation and stored on Google's servers and that The Linux Foundation may contact you regarding this event. Personal data collected from this form is subject to The Linux Foundation’s (https://www.linuxfoundation.org/privacy/) and Google's (https://policies.google.com/) respective Privacy Policies.
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