Kindness Matters 365 Club Sign Up

• Welcome! We are excited to have you here to sign up for your school Kindness Matters 365 Club! These amazing programs are filled with knowledge and skills for social and emotional well-being, and inspires exploration and discovery of gratitude, compassion and kindness. The result will be kids and teens who take better care of themselves and each other!

  
  
• Please Choose your School KM365 Club*
  Banyan Elementary School - Grades 2-3Banyan Elementary School - Grades 4-5Eagles Landing Middle School - Grade 6-8
• Can't find a club at your school? Double check with your school/ambassador to confirm that your school is using online club sign up for their registrations. If your school does not have a club for your grade level, click here to join Kindness Anywhere - online programming for students of any age, anywhere OR click here for information about how you can bring a club to your school!
  
  
  

• Participant (Student) Information

• Participant (Student) Name*
  First Last
• Participant Email*
  Enter Email Confirm Email
• Participant Phone
• Participant Grade Level*
  SELECT ONE2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeCollege
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• Parent Information

• Parent/Caregiver Name*
  First Last
• Parent/Caregiver Email*
  Enter Email Confirm Email
• Parent/ Caregiver Phone*
• Home Address
  Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country
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• Participation Agreements

• Photo Release*
  • I grant Kindness Matters 365 (“KM365”) and its representatives permission to use photographs and videos (“images”) taken during KM365 activities and meetings. KM365 intends to share these images to celebrate and communicate the success of KM365 programs. I grant KM365 the rights to the images and understand the images could be used for any use, including but not limited to social media, educational presentations, promotional pieces, news, and that there is no time limit on the validity of this release.
  • I do not give permission for my student to be photographed or video taped.
• Privacy Statement*
  I understand that I may not record KM365 meetings in part or whole.
  I understand that many participants in Kindness Matters 365 clubs are minors. Therefore recording any portion of a club meeting by myself, my child, another family member, or guest present at our location during club meetings is prohibited. This prohibition includes pictures, screen shots, screen sharing, audio and/or video recording, and live streaming or recording through another device and/or service.
• Student Agreement*
  Please read the expectations below carefully and check this box. This shows that you understand and agree to what is expected of you as a member.
  I agree to use appropriate language and appropriate behavior while in attendance at the Kindness club meetings and events. This means respecting all leaders, other students, guest speakers, the organizations that we visit, school property and any other materials or volunteers in attendance. I will respect others by treating them the way that I would like to be treated. I will respect the property, privacy and feelings of others. I will respect guest speakers by listening quietly and intently. I will keep myself and others safe by using kind words and kind, safe actions toward people and property. I will be patient, honest and fair with others.
  
  I understand that being part of the Kindness Matters 365 program is a privilege and I will only maintain that privilege if I am able to meet the expectations of this agreement.
  
  Consequences of students not meeting these expectations may include: removal from activity, written or verbal notification of the situation/behavior to the parent/caregiver, notification of school administration, or suspension from the Kindness program.
• Please type your full name as confirmation of your acceptance of the Student Agreement.*
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  KM365 is committed to providing valuable programs to help our kids and teens, especially at times like these. Through the donations of those who can, we are providing KM365 Clubs free of charge so all students can be included.
  
  Submission of this form indicates permission for my child (participant) to attend the KM365 club program.
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  Registration for a club here does not guarantee admission to the club. Most clubs have limits on number of participants and entry will be granted on a first come first served basis. Following submission of this form, please watch your email for a message from your club ambassador regarding admission and meeting details.