Clone of Flying Together: ARMS & MEM 2025

Spooky Science Spectacular

October 30, 2025
Instructions

Please read everything carefully before completing the form!
1. Please provide the total number of people from your family that will be attending the event. Be sure to include yourself in the total.
2. Proceed to registration.
3. Please note: You must go to our check-in table if you opt out of photos and collect your sticker.
4. Please designate a PRIMARY CONTACT at the end of the form.
NOTE: All communication regarding the event will be sent to the individual designated as the "PRIMARY CONTACT".
PLEASE COMPLETE*

I have read and acknowledge the above statements
How Many Adults Will Be Attending*
How Many Children Will Be Attending?*
PRIMARY CONTACT INFORMATION

Note: All communication regarding this event will be sent to the individual designated as the "primary contact".
Name*

First NameLast Name
Phone Number
Email:*
Photo/Video/Audio Consent:
Media Release

In consideration for participation in the Program, and without any further consideration from the Program, Participant hereby grants permission to ARMS, Inc. to utilize Participant's appearance, performance or voice in any and all manner and media throughout the world for the purpose of promotion, reporting or publication for the Program, ARMS, Inc. The Program may use Participant's likeness, voice and biographical material in connection with publication, promotion, exhibition and distribution of such material. Participant understands that no royalty, fee or any other compensation of any kind shall become payable to the Participant by reason of such release and use of any photograph or video.
PERMISSION TO ALLOW PHOTO/VIDEO/AUDIO TO BE PUBLISHED BY AUTISM RESOURCES MIDSOUTH.*

YESNO
PLEASE COMPLETE*

I have read and acknowledge the above statement
Signature*

Clear
Should be Empty:

Spooky Science Spectacular