Mother Son Nerf War Registration

Mother Son Nerf War Registration
Parent/Guardian's Name:

First NameLast Name
Phone:
Format: (000) 000-0000.
Email:
example@example.com
# of Boys Attending:
Photo Release: By signing this registration, I grant consent for my and my minor's photograph to be taken with participating in this event, to use and publish photographs in all forms of media including, but not limited to, newsletters, Facebook, and website use. I hereby waive any right I may have to review, inspect, edit, or approve such publication, and I release the WRAC from any claims I may have against it for use of such photographs.
Waiver Statement: I hereby release and absolve the Wray Rehabilitation & Activities Center, their employees, volunteers, and other participants involved in the event from liability and/or claims of damages arising from the injury received by the participants involved, whether due to remission of said parties, or other participants, or otherwise.
Parent/Guardian Signature:
Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
We are also looking for volunteers to donate sweet treats for the evening.
We are also looking for volunteers to donate sweet treats for the evening.
Type of Treat (if you know at this point, no worries if you don't!)

Debit or Credit Card

Choose from one of the PayPal options to make your payment.