2026 NFB of Kentucky/Clovernook Center Spring Fling/Beeping Egg Hunt Registration

Spring Fling & Audible Egg Hunt Student Registration - Presented by The National Federation of the Blind of Kentucky and Clovernook Center for the Blind & Visually Impaired

The National Federation of the Blind of Kentucky in partnership with the Clovernook Center for the Blind & Visually Impaired, and sponsored by the Kentucky School for the Blind Charitable Foundation is excited to host this accessible egg hunt and information fair! This event is open to all blind and low vision children birth to grade twelve and their families. This is an opportunity for our blind and low vision children to independently participate in an activity that may not have been accessible to them previously.
When: Sunday, March 22, 2026

Where: Kentucky School for the Blind, 1867 Frankfort Ave., Louisville, KY 40206

Time: 5:00PM to 7:00PM

Other Details: Pizza will be provided. Make sure to bring a basket or bag for the egg hunt, and just maybe a special bunny friend will stop by to say “Hello!” There will also be inflatables for some extra fun.

Registration Deadline: Friday, March 13, 2026

For questions regarding this event please contact Angela Henderson, President of NFB of Kentucky at Angela.henderson@nfbky.org.

For more information about the National Federation of the Blind of Kentucky events and programs visit our website www.NFBKY.org

For more information about the Clovernook Center for the Blind & Visually Impaired and our events and programs visit our website www.clovernook.org
Student (Participant) Name*

First NameLast Name
Parent/Guardian Name*

First NameLast Name
Email*
example@example.com
Phone Number (cell preferred)*
Please enter a valid phone number.Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student Age*
Student Grade in School*
Student's School/District*
Student's Race/Ethnicity
Student's Eye Condition/Diagnosis*
Name of Student's Teacher of Students with Visual Impairments (TVI/TBVI) (If not applicable please put n/a.)*
How many adults will be attending with the student?*
Please list the names of adults attending with student?*
How many siblings/additional children will be attending with the student?*
Please list the names and ages of siblings/additional children attending: Blindfolds will be provided for siblings who wish to participate in the audible egg hunt.*
Are there any special accommodations needed for your child to participate in this event? Does your child have any special needs that event planners should be aware of?*
YesNoDon't know or prefer not to answer
Please see below to fill out and sign liability and media waivers for NFB of Kentucky, Clovernook Center, and The Kentucky School for the Blind. Thank you! We look forward to seeing you March 22, 2026!
NFB of Kentucky Media Release

The National Federation of the Blind of Kentucky will be taking photographs and video of participants and adult participants for educational and promotional purposes during this event.
YesNo, please do NOT publish photos or videos of my child.
Signature*
General Release of Liability and Hold Harmless Agreement

I agree to assume all risks and to release, hold harmless, and covenant not to sue the National Federation of the Blind or any designated beneficiaries, sponsors, officers, officials, affiliates, chapters, communities, organizations, friends of the event, and all other government or public entities and all their respective directors, officers, agents, employees, and members for any claim, loss, or liability that I may have arising out of my participation in the event. I / My child(ren) will participate in the event facilitated by the National Federation of the Blind of Kentucky. I / My child(ren) will adhere to any and all rules and policies of the Program. I agree / My child(ren) has permission to participate in all activities of the Program.
Signature*
CLOVERNOOK CENTER FOR THE BLIND & VISUALLY IMPAIRED

PERMISSION STATEMENT AND RELEASE FROM LIABILITY

NOTICE - THIS IS A LEGAL DOCUMENT THAT CONTAINS A GENERAL RELEASE.

It should be read carefully and understood fully before signing.

1. Consent/Permission. I voluntarily agree to participate in activities, programs, classes, services and/or events provided, sponsored or organized by Clovernook Center for the Blind and Visually Impaired (“Clovernook”), including but not limited to Summer Camp events in and around the city of Cincinnati, travel to and from the locations at which the Summer Camp events may occur, any Braille Challenge event and/or any activities through the Pediatric Low Vision Program, and/or other Clovernook Center activities (collectively the “Activities”). Alternatively, I am the parent or legal guardian of the child participant named below and hereby give permission for that child to participate in the Activities. Being a participant in the Activities or the parent or legal guardian of a child participating in the Activities (“Participant”), I hereby agree as follows:

2. Assumption of the Risk. Participant is participating voluntarily in the Activities. I certify that Participant is physically able to participate in the Activities and that I know of no physical or psychological impairments that would in any manner limit Participant’s participation in the Activities. I understand that the Activities may involve foreseeable and unforeseeable inherent risks, hazards, and dangers. I hereby expressly and specifically assume the risk of damage, injury, harm or death that Participant may face in connection with the Activities.

3. Waiver and Release. I, on behalf of myself, my child, and my and/or their heirs, successors, assigns, executors, and administrators, do hereby release, forever discharge, indemnify, and hold harmless Clovernook and its directors, officers, employees, volunteers, representatives, agents, successors and assigns (collectively the “Released Parties”) from any and all liability, claims, demands and causes of action of whatever kind or nature, either in law or in equity, arising out of or relating to Participant’s participation the Activities, including but not limited to any claim for any bodily or psychological injury, personal injury, illness, death, economic or emotional loss, or property damage that may arise out of, occur during or result from the Activities, regardless of whether caused in whole or in part by an act or omission of a Released Party.

4. Medical Treatment. I release, forever discharge, indemnify, and hold harmless the Released Parties from any claim, demand or cause of action whatsoever arising out of or relating to any first aid or medical treatment rendered in connection with the Activities. I further authorize Clovernook to seek emergency medical treatment for Participant in the event of an accident, injury, illness. In the event of an emergency, please contact:
EMERGENCY CONTACT Name*
EMERGENCY CONTACT Relationship*
EMERGENCY CONTACT Phone Number*
Format: (000) 000-0000.
5. Media Release. I grant Clovernook permission to photograph, videotape, or otherwise record by visual, audio, electronic or manual means, the visual likeness and/or voice or other sounds created by Participant (collectively “Reproductions”). I further grant and convey to the Released Parties all right, title and interest in the Reproductions, including but not limited to the right to use Participant’s name and any Reproductions in any and all Clovernook publications or advertisements in print, television, online (including without limitation, its websites or pages on Facebook or other social media sites) and any other media and/or to share the Reproductions with Clovernook partners for their marketing or other purposes, without compensation to me or Participant. This consent is irrevocable and is without payment. The Reproductions will become the property of Clovernook, and I will have no ownership interest in the Reproductions and waives any rights, privileges or claims based on any right of publicity, privacy, ownership or any other rights arising, relating to or resulting from the Reproductions. I waive the right to inspect or approve any Reproductions, and I waives any right to royalties or other compensation arising or related to their use by Clovernook.
I ACCEPT the terms of the above "Media Release" paragraph.I DO NOT ACCEPT the terms of the above "Media Release" paragraph (selecting this option does not affect or invalidate the remaining paragraphs of this Agreement).
6. Governing Law. I expressly agree that this Agreement is intended to be as broad and inclusive as permitted by the laws of the state of Ohio, and that this Agreement will be governed by and interpreted in accordance with the laws of the state of Ohio without giving effect to its conflict of laws rules. I agree that in the event that any clause or provision of this Agreement is held to be invalid by any court of competent jurisdiction, the invalidity of that clause or provision will not affect the remaining provisions of this Agreement, which will continue to be enforceable. I agree that the sole and exclusive jurisdiction and venue for litigation pertaining to this Agreement will be a state or federal court having jurisdiction over Hamilton County, Ohio.

I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A CONTRACT AND A GENERAL RELEASE OF ANY LIABILITY BETWEEN MYSELF AND CLOVERNOOK. I SIGN THIS AGREEMENT OF MY OWN FREE WILL. BY SIGNING THIS AGREEMENT, I CERTIFY THAT I AM AT LEAST EIGHTEEN YEARS OF AGE.

To express my understanding of this Agreement, I sign here:
SIGNATURE*
DATE*

MonthDayYear
Date
Participants' Names (Please list all children and adults who are participating in the event.)*
Parent/Guardian Name if Participant is under age 18*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Kentucky School for the Blind

Bouncy House Participation Permission & Release of Liability
Student Name:

First NameLast Name
Grade/Class:
Date:

MonthDayYear
Date
Parent/Guardian Name:

First NameLast Name
Emergency Contact and Phone:
Dear Parent/Guardian:

The Kentucky School for the Blind (KSB) will provide students with the opportunity to use an inflatable bouncy house during Recreation (Rec), Physical Education (PE) classes, and special school events. Although KSB will supervise and maintain the inflatable equipment, the use of a bouncy house involves inherent risks of injury which cannot be entirely eliminated.
To allow your child to participate, please read, sign, and return this form.

ACKNOWLEDGMENT OF RISK & RELEASE OF LIABILITY
I, the undersigned parent or legal guardian of the student named above, understand and acknowledge that participation in activities involving a bouncy house may include risks and dangers, including but not limited to slips, trips, falls, collisions with other users or surfaces, sprains, fractures, concussions, or other physical injury. I further understand that such risks may result from the negligence of others, including the school’s staff, volunteers, other students, or third parties.
In consideration for KSB (and its employees, agents, volunteers, and representatives) permitting my child to participate in use of the bouncy house, I hereby agree as follows:

Permission
I give permission for my child to use the bouncy house during Rec, PE, and special events sponsored by KSB.

Release and Hold Harmless
On behalf of my child, myself, my heirs, assigns, personal representatives and next of kin, I release, waive, discharge, and covenant not to sue KSB, its Board of Trustees, administrators, teachers, coaches, staff, volunteers, and agents (“Released Parties”) for any liability, claim, or cause of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by my child, whether caused by the negligence of the Released Parties or otherwise, except to the extent such claims arise from gross negligence or willful misconduct of the Released Parties.

Assumption of Risk
I understand and expressly assume all risks of injury, damage, or harm that may result from my child’s participation in the bouncy house activity, whether known or unknown, foreseeable or unforeseen. I voluntarily choose to allow my child to participate despite these risks.

Medical Treatment
I authorize KSB to obtain emergency medical treatment for my child in the event of injury, illness or accident, and I agree to be financially responsible for all medical expenses incurred as a result of such treatment.

Governing Law & Severability
This agreement shall be governed by the laws of the Commonwealth of Kentucky. If any provision of this agreement is found to be invalid or unenforceable, the remainder shall continue in full force and effect.

Kentucky law requires that a waiver intending to release a party from liability for its negligence must clearly and unmistakably express that intent, for instance by using the word “negligence.” (Sportwaiver)

I understand that this release is intended to be as broad and inclusive as permitted by Kentucky law.

Complete Agreement
I acknowledge that I have read this form in its entirety, that I fully understand its terms, and that I am giving up substantial rights, including the right to sue the Released Parties for their negligence (except as stated above). I sign this agreement voluntarily and without any inducement or assurance of any nature.
MEDICAL INFORMATION - Allergies or medical conditions (if any) that may affect participation:
Any restrictions on physical activity:
Parent/Guardian Name:

First NameLast Name
Parent/Guardian Signature:
Date

MonthDayYear
Date
Student Name:

First NameLast Name
Student Signature (if appropriate):
Date

MonthDayYear
Date
THANK YOU for taking the time to complete this form. Your understanding and cooperation help us provide a safer environment for all students.
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Spring Fling & Audible Egg Hunt Student Registration - Presented by The National Federation of the Blind of Kentucky and Clovernook Center for the Blind & Visually Impaired

Kentucky School for the Blind