Registration Form

Parent Name*

First NameLast Name
Parent Email*
example@example.com
Parent Phone*
Please enter a valid phone number.
Parents are invited to enjoy wine and light Hors d'oeuvres with Willows Academy current parents. So we can plan accordingly, will you be attending?
RSVP for Parent Wine Event

Release

I, {parentName}, agree that my child {studentName} can participate in the Escape Willows Night event on November 30, 2022. {parentName} and {studentName} agrees to indemnify and hold harmless Willows Academy and its employees, teachers, coaches, officials, agents, Board of Education/Elders and any members, employees or agents of any of them from and against any loss, damage, claim, liability, costs or other expenses, including costs in defense of any lawsuit, arising out of or in connection with alleged illness, accident or loss of life, personal injury and/or damage to property in connection with {studentName} attendance and participation in the Escape Willows Night event November 30, 2022.
Signaturez

Clear
Did someone refer you to this event? If so, who?
Should be Empty: