kickball kickback: a charitable game

First Name

Last Name

Email

Company

How many kid tickets ($3) do you need?

How many adult tickets ($5) do you need?

I hereby release The Ugly Duckling Brand Inc (UglyDuck), the OK City Center, staff and volunteers which may arise from incidents and accidents involving myself, my children or and dependents, while playing kickball, to the extent allowed by the law. This release form is valid for any UglyDuck events for the calendar year: 2022 and is valid for all humans, registering to play. Please write yes no.

Make Your Payment! Registration will not be complete until payment has been received.

Kickball Kickback Registration & Liability Release Form