Audible Easter Egg Hunt registration form

Child Name*

First NameLast Name
Parent Name*

First NameLast Name
Parent E-mail:*
Address Info

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Child's Date of Birth*

MonthDayYear
How Did You Hear About This Event?

I/My child is a client of New Vision.NewspaperNew Vision newsletterFacebookWord of mouthOther
Comments
I understand and confirm that parents/caregivers must stay with and assist their child during this event. In attending this event, I understand and confirm that I and my party assume all risks associated with this event, and hereby release New Vision for Independence, its employees and agents from any and all liability arising from injury or damage that may be suffered by me or others resulting from my/my child's participation in this event. I understand and confirm that I grant full permission for the use of all recordings of this event.
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