BLOOM Chill &Grill Event Registration
Please fill out the form below to participate in our upcoming cookout. We appreciate your cooperation in helping us organize a fun and inclusive event.
Full Name
*
First Name
Last Name
Family Name
*
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Number of attendees
*
Ages of children attending
*
Contribution options
*
Charcoal
Lighter fluid
Coolers
Napkins, Plates, and Utensils
Citronella Candles or Bug Repellent
Hand sanitizer & Wet Wipes
$5 per person
We can’t contribute at this time but we will when we are able.
Special notes or request
Would you like to volunteer to help with the event?
Yes, I would like to volunteer
No, I cannot volunteer at this time
Community Cookout Responsibility NoticeOur monthly community cookouts are open, family-friendly gatherings designed to build connection and joy. Please note that Sahmara’s Corner is simply the host of this event — we do not provide childcare or supervision.Parents and guardians are expected to remain present and responsible for their own children at all times during the cookout. Sahmara’s Corner is not liable for injuries, accidents, or incidents that occur during these open community gatherings.
*
I agree
Signature
*
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