Kickball 4 the Kids Registration and Waiver

WAVIER OF LIABILITY

I hereby waive all claims against PepsiCo, the City of Bentonville and the Northwest Arkansas Children’s Shelter and all officers, directors and employees affiliated with PepsiCo, the City of Bentonville and the Northwest Arkansas Children’s Shelter for any injury that I may suffer from my participation in this event. I grant full permission for organizers to use photographs, videos or any other record of this event for publicity purposes. I, the undersigned, understand and agree to the above waiver.

Waiver of Liability*
- By checking this box, you agree that you have confirmed the above information from the participants you are registering and they fully agree to the above terms.
Name of person completing form*
First Last
Email of person completing form*
Name of Business/Corporation*
Signature of person completing form*
Player 1 Name*
Player 1 Email
Player 2 Name*
Player 2 Email
Untitled
Player 3 Email
Player 4 Name
Player 4 Email
Player 5 Name
Player 5 Email
Player 6 Name
Player 6 Email
Player 7 Name
Player 7 Email
Player 8 Name
Player 8 Email
Player 9 Name
Player 9 Email
Player 10 Name
Player 10 Email
Player 11 Name
Player 11 Email
Player 12 Name
Player 12 Email
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.

Meet Judea

Judea fought her whole life to be free of abuse and neglect. She finally escaped that world and arrived at the Northwest Arkansas Children’s Shelter where she immediately began to thrive. For the first time in 17 years, she imagined living a normal life just like every other high school student. This included a wish to go to high school prom.

Casey, her case manager during her stay at the Children’s Shelter, shares:

“My heart is filled with so much joy! I got the privilege to go to prom with one of my kiddos from the shelter. No, it wasn’t a typical prom situation, but when a kiddo finally escapes abuse for the first time in 17 years, we do all we can to make it a perfect night for her. She is strong, resilient, courageous, unique, ambitious and unassuming. She inspires me and she is one of the million reasons I will never stop fighting for these kids. Prom night was a sweet reminder that no matter how many hard days we have to face, these special moments make every single hard day completely worth it. If these kiddos can endure years and years of abuse, then we can endure an infinite number of hard days. We have to, because they need us.”

Casey Krisell, former Northwest Arkansas Children’s Shelter Case Manager

Judea

Meet Judea

Contact Us

For DCFS use only

Join Our Team

Judea

Meet Judea

Footer

Contact Us

For DCFS use only

Join Our Team

Connect