SE4SK 2024 Participation/Liability/Photo Waiver


 SE4SK (Special Events for Special Kids) is a nonprofit for children with special needs and or disabilities
ages 3-19, located in Southern NJ. We do not allow siblings that are typical to attend events, except for our yearly family zoo trip. We host several free in-person events a year. You will need to sign up for each event, we like to keep our numbers low, we tend to hand out items during the events, we need to make sure we have enough supplies for everyone. All participants MUST be considered SPECIAL NEEDS, have a DISABILITY, or be considered medically fragile. I hate to have to say it again, but we tend to have people try to sign up that are TYPICAL just for the free items. We TRUST everyone to be truthful!!

 Please remember siblings are NOT permitted to attend our events, we do host 1 or 2 family events a year, where the whole family can attend. We will let you know when registration is open for these events. Lastly, we ask that only 1 parent/guardian attends these events unless you need 2 parents/guardians to help your child have a good time. We like to keep our attendance low to not over stimulate the kids.
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Email *
Childs Name *
Date of birth? *
 Phone number? *
Tell us about your child

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Children's address? *
Child's school *
Child's Shirt Size, please make sure to mention adult or youth size.   *
In consideration for my children(s) participation, I hereby for myself and my child(ren) and our respective heirs and successors promise not to sue and forever release Jami Saraullo, Alyssia Saraullo, SE4SK Board Members, Glenn Yeary Photography, Keneva Farms, the owners on 22 Dickerson Street Woodbury NJ and Every Venue we hold events at during the 2023 year. This also includes SE4SK officers, directors, shareholders, employees, contractors and volunteers from all liability resulting in damage or injuries incurred as a result of participation, including those resulting from acts of negligence. By printing your name below you agree to all the above.




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 Photo/Video Release: By typing your name below you acknowledge that you are aware that individual, group photos and or videos are taken, in considerations for my child(ren)'s participation, I hereby grant my permission for such photos or videos of my child(ren) to appear on SE4SK's and Jami Saraullo's Facebook page, Instagram, Twitter, Website, Event facility websites, and other social media platforms. This also includes publications both paper and media used to promote SE4SK, recruit volunteers and to acknowledge volunteers and sponsors. *
By typing your name below I acknowledge that I am aware SE4SK events are for children with Special Needs, Disabilities or medically fragile ONLY. We do not ask for specifics about your child(ren) but we do trust that you will not register a child that does not have special needs and or disabilities. *
Please list any Food, Animal or Environmental Allergies your child(ren) may have: If none please type


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By signing below you agree to follow our Covid/Flu rules: You  agree to not ATTEND ANY events if you or a family member have any symptoms or our anyone in your family is being quarantined. You also agree to release SE4SK from any liability when involving Covid/Flu.   *
Does your child(ren) need/use any Special devices or need assistance? Please explain: wheel chair, communication devices, walkers etc



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BY signing below you agree to our new policy effective January 2024 that if you no show or give less than 24hr notice to attend our super events you will be charged a $25.00 fee per person for lack of attendance. We understand things happen, but we keep our event spaces limited and people are continuously signing up and not attending. We will also have a 3 rule for regular events, if you sign up and no show for 3 events you will not be allowed to sign up for the 2 events there after. *
By typing my name below, I acknowledge that I have read and understand this waiver of liability and photo/video release, I voluntary affix my name and date in agreement. I understand that if I do not agree to the photo release my child can not participate in SE4SK at this time. 




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