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Special Event: Baby's First Graduation Party
Child's Information
Child's Name
*
First Name
Last Name
Which playgroup locations has your child attended?
North Miami Beach (Amazing Births & Beyond)
Aventura (Premier Martial Arts)
Miami Shores (Kogeki Dojo or Field Workshop)
Surfside (Surfside Community Center)
Little River (Mady's Dance Factory)
Golden Glades Library
Arcola Lakes or Lemon City Libraries
Cutler Bay (Dance AL Studio)
Legal Guardian Information
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
OPTIONAL: Please upload a few photos of your little one enjoying our playgroups for our graduation presentation (or text them to us later)
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Waivers & Releases
Media Release: I hereby grant permission, without reservation, to the Round Robin Playgroup (“RRP”), and those authorized by RRP, to take photographs and to make recordings of myself and my child, and to use them in original or modified form in all media now or hereafter known, with or without my child’s name or information about him/her, for the promotion, public education, and/or fundraising activities of the organization. I hold harmless and release and forever discharge RRP their officers, directors, agents, employees, independent contractors, affiliated agencies, licensees, and assignees from all claims, demands, and causes of action that I, my children, our heirs, representatives, executors, administrators, or other persons acting on behalf of my or my child(ren)’s estate, have now or in the future may have, relating to the above. I also agree that RRP will be the sole owner of all tangible and intangible rights in the above-mentioned photographs and recordings, with full power of disposition. [please see Terms & Conditions for further details]
*
I have read the above and fully understand this release and its contents, and I consent on behalf of myself and my child(ren), a minor under the age of 18.
Special Event Payment
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Suggested Donation is $25. We relay on your donations to fund our playgroups and special playgroup events
Payment Details
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Credit Card Number
Security Code
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