Not Shaken, Inc. Baking Event
Special Needs Guest Registration (2-22-25)
Name:
First Name
Last Name
Age (Special Needs Guests ages 3 years old and up):
Gender:
Please Select
Male
Female
Email:
Phone Number:
Parent/Caregiver Name/s:
Parent/Caregiver Phone Number/s:
Parent/Caregiver Email:
Special Needs Guest will attend with only 1 additional person Person #1 Attending with the Special Needs Guest (if applicable):
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Health Concerns:
PLEASE NOTE: No one from Not Shaken, Inc and its volunteers will be administering any medication. Parent/Caregiver will be responsible for administering any necessary medication/s during the event.
Special Communication Needs:
Sensory Issues Concerns:
Food Allergies:
Submit
Should be Empty: