"Friend of the Court" Program Enrollment Form

"Friend of the Court" Program Enrollment Form

An introductory experience leading up to participation in the Fiesta Especial Royal Court Leadership & Life skills Development Program
If you are 7 years of age or older and either don't meet the minimum age requirement or aren't quite ready for full enrollment in the program, we invite you to register as a Friend of the Royal Court. This is an introduction to the Royal Court program until you're old enough or ready for the full Leadership & Life Skills Development program.

As a registered Friend of the Royal Court, you will receive the following program benefits:
- Complimentary Admission, plus 1 guest to the Campaign Kick-off party on Sept. 14th (includes admission and food only)
- Participation access to the medal workshop on Oct. 19th
- Complimentary Admission, plus 1 guest to the Royal Court Reveal Party on Dec. 7th
- One (1) 2026 Fiesta Especial® Medal and a Fiesta Especial pin
- Participation in the program appearance workshop on Jan. 17th
- Complimentary Admission, plus 1 guest to the 2026 Coronation on Jan. 23rd and special recognition in the event program
- Friend of the Court program sash
- Invitation to attend the End of Year Party for the 2025-26 program year.

Program Participant's Information
Program Participant's Name:*

First NameLast Name
Preferred Name (Nickname):
MaleFemale
Height (Feet, Inches)*
Participant T-Shirt Size*
Date of Birth:*

MonthDayYear
Age on Sept 1st:*
Individuals who are ages 7 -10 and are not yet ready to participate in the full royal court program may register as a Friend of the Royal Court.
Upload a photograph of the participant:*

Cancelof
Why does the participant want to be a "Friend of the Court"?*
Primary Disability Diagnosis:

Legal Guardian Information

Please enter the contact information below for the legal guardian
Name:*

First NameLast Name
Email:*
example@example.com
Cell Phone Number:*
Please enter a valid phone number that can receive text messages from disABILITYsa.Format: (000) 000-0000.
Relationship to Participant*
Guardian's T-Shirt Size*
Facebook Profile URL*
ie. www.facebook.com/melanie.cawthon/
YesNo, Thank You
YesNo
Alternate Contact Name:*

First NameLast Name
Alt Contact Email:*
example@example.com
Alt Contact Cell Phone Number:*
Please enter a valid phone number that can receive text messages from disABILITYsa.Format: (000) 000-0000.
Alt Contact Relationship to Participant*
Alt Contact's T-Shirt Size*
Alt Contact Facebook Profile URL
ie. www.facebook.com/melanie.cawthon/

Autism Lifeline Links

disABILITYsa participates in Autism Lifeline Links to help strengthen a collaborative network of service providers, leveraging data collection to inform and enhance programs for individuals with autism and developmental disabilities across San Antonio. Collecting data through this partnership enriches community resources by identifying service gaps and needs, enabling more effective planning, advocacy, and delivery of support for individuals and families impacted by autism.
Autism Diagnosis Status (please select one):*
Which organization/entity provided the diagnosis?
YesNoI am unsure
This specific information presented above, unless included in another area of the enrollment form is not for public consumption and will not be posted, publicized, or used in any other way except in our work with Autism Lifeline Links.

If you have not explicitly authorized permissions to create awareness around your or your child's disability in the disability awareness section above, this information will remain private.

Photo / Video Release Agreement
I hereby grant disABILITYsa, Fiesta Especial, Fiesta San Antonio, and their representatives and program partners permission to photograph and/or record video of myself and/or my child/dependent in connection with the above-identified program. I authorize disABILITYsa and its designees to copyright, use, and publish these images or recordings in print and/or electronic formats. I understand that these materials may be used with or without my/our name(s) for any lawful purpose, including but not limited to publicity, illustration, advertising, and web content. Participation is voluntary, and I will not receive compensation for the use of these images or recordings. I understand that if I choose to withdraw my consent in the future, I can request that my images or recordings no longer be used in future materials; however, I acknowledge that I cannot withdraw consent for any materials that have already been produced or published prior to my withdrawal.
By signing below, you acknowledge having red, understood, and agreed to the above photo/video usage of yourself and/or dependent.*

Powered by Jotform SignClear
Printed Name*

First NameLast Name
Date*

MonthDayYear
Relationship to the program participant:*
Enter "SELF" if you are signing for yourself.

Program Enrollment
By clicking "Enroll" I acknowledge that I have read all rules and regulations for the 2025-2026 Fiesta Especial® Royal Court program and agree to abide by these rules, policies, and program norms. Once I click submit, I recognize that the participation process will begin and that my or my dependent's information submitted in this document will appear online (pending the approval of any exceptions requested).
Should be Empty:

Program Participant's Information