Irvine, CA · Orange County
Acknowledgement of Procedures
Parents or guardians complete this Kids Club form to acknowledge program procedures and provide participant, contact, and authorized pickup information.
What this form is
This form records a parent or guardian’s acknowledgment of Irvine Kids Club procedures, including registration, schedule changes, cancellations, and fees. It also collects participant details, parent or guardian contact information, medical conditions or restrictions, and emergency contacts authorized to pick up the child. The form says the signed notification will be added to the child’s Kids Club folder.
Who needs it
A parent or guardian completing Kids Club paperwork for a child should provide the acknowledgment and the requested participant, contact, and emergency pickup details.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the parent or guardian signs and dates the acknowledgment and emergency contact information.
How to submit this form
- 1
Download The Form
Download the Acknowledgement of Procedures PDF.
- 2
Complete The Form
Fill in the participant, parent or guardian, and emergency contact information, and review the Kids Club procedures.
- 3
Sign And Date
The parent or guardian signs and dates the acknowledgment and emergency contact information.
- 4
Submit To The City
Submit the completed form to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What is the Acknowledgement of Procedures form for?
- It records a parent or guardian’s acknowledgment of Kids Club procedures and gathers participant, parent or guardian, and emergency pickup information.
- What information does the form request?
- It asks for the child’s name, birth date, school and other details, parent or guardian contact information, medical conditions or restrictions, and authorized pickup contacts.
- Do I need a notary for the Acknowledgement of Procedures?
- No. The parent or guardian signs and dates the form; it does not require a notary.
- How do I submit the Acknowledgement of Procedures?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Acknowledgement of Procedures doesn’t need a notary — but if you have another Irvine form that does, a commissioned online notary can help.