Holiday Toy Registration Form

Holiday Toy Registration Form IS NOW CLOSED.

Please fill out the form carefully for registration. This toy giveaway is on a first come, first serve basis ages 15 and under. Please complete ASAP. All forms must be completed by 12/5/24. Toy give away will be on December 8th, from 9am-11am. You will receive a confirmation after your form is processed with a time and location for toy pickup.
Parent Name*

First NameMiddle NameLast Name
Child's Name*

First NameMiddle NameLast Name
Child's Birth Date

MonthDayYear
Child's Gender*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
example@example.com
Mobile Number*
How Did You Hear About Our Organization?*
Is Your Child Involved In Any School/After School Programs?*
Would You Be Interested In Involving Your Child In A Community Based Music Enrichment Program?*
Would You Like To Be Added To Our Mailing List For Upcoming Events?*
I understand Cedar Tree Music and Performance (CTMP) may take photographs, video, and other image-based media (collectively, “Image”) of me at the Event and such pictures may include CTMP staff, their friends, and family members, and other volunteers. I also understand that CTMP may wish to use such Images for education, promotional, advertising, and other purposes (PLEASE INITIAL)*
I agree that this permission for release, without compensation or prior notice, allows Cedar Tree Music and Performance to use the Images in any and all media, including in its printed publications, during presentations, on its web site, FaceBook, Twitter, Instagram, etc. and otherwise (PLEASE INITIAL)*
I hereby freely and voluntarily consent to the use, reproduction, editing, alteration, preparation of derivative works, public display, public performance, and participation, picture, and likeness by Cedar Tree Music and Performance, its employees, agents, licensees, successors and assigns for any and all purposes, including, but not limited to, educational. Promotional, advertising, and trade, through any medium or format, including, but not limited to, educational, promotional, advertising, and trade, through any medium or format, including, but not limited to, videotape, audiotape, film, photograph, television, newspapers, magazines, radio, digital, internet, or exhibition, at any time and without limitation as to frequency, from the date hereof until I revoke this consent in writing (PLEASE INITIAL)*
I hereby unconditionally release Cedar Tree Music and Performance, and their employees, directors, officers, agents, successors, licensees, and assigns (the “Release Parties”) from all manner of claims, demands, disputes, lawsuits, and causes of action (including, but not limited to, defamation, invasion of privacy, misappropriation of public rights, and copyright infringement), damages, obligations, and liabilities which I now have, have ever had, or may hereafter have against the Released Parties relating in any way to the Images or use thereof (PLEASE INITIAL)*
Does your child have extraordinary needs that requires a special toy (ie: choking risk etc.) *
Signature*

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Holiday Toy Registration Form IS NOW CLOSED.