Event Registration & Permission Forms

– Please submit a separate registration form for each child attending the event. –

Easter Egg-stravaganza 2024 Registration

Event Registration(Required)

Easter Egg-stravaganza 2024, Saturday 3/23/24

Youth Info

Name(Required)

First Last

Date of Birth(Required)

Age(Required)

Please enter a number from 1 to 18.

School Attending(Required)

Grade

Please enter a number from 0 to 12.

Known Allergies

Special Needs

Any Specific Behavioral/Learning Needs

Names of Siblings Also Attending

Parent/Guardian Info

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Cell Phone

Military/Veteran Info

Emergency Info

Any Specific Medical Needs

Doctor Name

First Last

Hospital Preference

Insurance Information

Signature

Signature(Required)

Date(Required)

Important: A permission form must be submitted for each child attending the event.

Permission Slip

Event(Required)

You have registered your child to attend the following Spirit Gives Event:

Taking place on:(Required)

Parent/Guardian Name(Required)

First Last

Child's Name(Required)

First Last

Media Release(Required)

I give permission for my child to be photographed or filmed at the above event.

I do NOT give permission for my child to be photographed or filmed at the above event.

If granted, my permission allows Spirit Gives Foundation to use the photographs/videos from the above event for any legal use, including but not limited to: social media posts, publicity, copyright purposes, illustration, advertising, and web content. Furthermore, I understand that no royalty, fee or other compensation shall become payable to me by reason of such use.

Name

First Last

Emergency Contact(Required)

In case of emergency, if we are unable to contact the parent/guardian, provide contact information for another responsible adult.

First Last

Relationship to Child(Required)

Cell Phone(Required)

Home Phone

Alternative contact information:

Signature(Required)

Date(Required)