IABA Virtual Charity Event- Dec 12th -: RSVP & Donation Pledge Form :-
Event Date: Dec 12th, Saturday
Time: 5pm to 8pm

Venue: Park Square Homes (Virtual event). Virtual Karaoke - Bollywood Hits

Contact us at (321) 765-9006
Email: info@IABAusa.com

REGISTER NOW..!
Ways to DONATE:
1- Donate funds for lunch, craft, toys, DIY kits - Fill out info in this form
2- Sponsor Karaoke Singers, Songs
3- Donate online- Facebook, Paypal email: info@iabausa.com
4- Donate  Food & Drinks
Deadline to Sponsor singers, songs: Dec 9th, 2020

Charity: Donate funds to purchase food, DIY kits, Crafts, Toys, Clothing, etc for at-risk and in-need children

Beneficiaries:
- The Great Oaks Village
- The Children's Safety Village of CFL

Supported by:
- KEYHR
- AAHOA
- Gujarati Society of CFL
- Park Square Homes
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Email *
Indian American Business Association & Chamber- www.IABAusa.com
First & Last Name *
Address (Street, City, State, Zip) *
Cell phone (Example:1234567890) *
Donation Pledge (All funds will go towards Charity) *
SELECT ALL THAT APPLY
Required
Amount Pledge (Select one) *
Parent/Guardian- Please put your name and phone number along with child name (last line)
Waiver Agreement-----> I/We, acknowledge that I/We have voluntarily applied to participate in activities of event organized by IABA - Indian American Business Association of USA. I/We are AWARE THAT THESE ACTIVITIES ARE HAZARDOUS AND THAT I/WE COULD BE INFECTED OR SERIOUSLY INJURED. I/WE AM/ARE VOLUNTARILY PARTICIPATING IN THESE ACTIVITIES WITH KNOWLEDGE OF THE DANGER INVOLVED, AND AGREE TO ASSUME ANY AND ALL RISKS OF HEALTH, BODILY INJURY, DEATH OR PROPERTY DAMAGE, WHETHER THOSE RISKS ARE KNOWN OR UNKNOWN. I/We verify this statement by selecting below checkbox to agree. As consideration for being permitted by the IABA  (Indian American Business Association) and its representatives to participate in these activities and use the ground and facilities, I/We forever release the IABA Members, Presidents, Executive Committee, Volunteers and Representatives (collectively “Releases”) from any and all actions, claims, or demands that I/we, our assignees, heirs, distributes, guardians, next of kin, spouse and legal representatives now have, or may have in the future, for injury, or property damage, related to (i) my participation in these activities, (ii) the negligence or other acts, whether directly connected to these activities or not, and however caused, by any Releases, or (iii) the condition of the premises where these activities occur, whether or not we are then participating in the activities. I/We also agree that I/We, our assignees, heirs, distributes, guardians, next of kin, spouse and legal representatives will not make a claim against, sue, or attach the property of any Releases in connection with any of the matters covered by the foregoing release. I/WE HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND THE CONTENT. I/WE AM/ARE AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MY SELF AND IABA, THE STATE, THE COUNTY, AND THE LESSOR, AND SIGN IT OF MY OWN FREE WILL. *
Required
Paypal Payment info - Pay to Paypal ID: info@IABAusa.com or go to https://www.paypal.me/IABAusa OR Pay by CREDIT CARD BELOW
- Registration is not valid till payment is received -
Credit card # (Pay by Credit Card)
CVV Code/Type of card (***/visa/MC/AMEX)
Expiration Date (MM / YYYY)
Name on Card
Billing Address (If different from above*)
Note for Parent/Guardian (Name & Phone #)
IABA VIRTUAL CHARITY FUNDRAISER- DEC 12th at 5PM
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