Event registration
Event Timing: May 21-23, 2021
Event Address: 348 Wilson Hill Rd Binghamotn, NY 13905
Contact me 607-343-5974 or info@michelleirene.com
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Name *
Email *
Phone # *
Address *
Dietary restrictions *
Alcohol  Restitctions : wine may be served at the family dinner but can easily be ommitted if you are uncomfortable with it's presence. This will be held confidential. *
Allergies *
Any special medical needs *
Masks are not required however if you feel more comfortable we will support you. Hugging others during the event may take place if this is uncomfortable for any reason without exploanation we will respect that as well. There will be colored braclets given to each attendee that represents OK to hug or not ready yet to hug so the question will not have to be asked. Are you OK with hugging other attendees? *
Health Insurance Carrier and Policy Number *
Emergency Contact *
Filming and Photographing will accur throughout the event. If you wish to not be a part of the filming or photographing I will do my best to crop the frame or blur. Pics will be shared for future advertising of the event or other media announcements with Michelle Irene. But will also be available for you to promote your buisiness at no extra fee. The complete file will be shared with all.
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I understand that MIchelle Irene, LLC will not be held liable for any injury, illness or other forms of discomfort due that may take place during the event on the property or off the event location. MI, LLC has no control under unforeseen cirumstnaces.
I have received, read, and signed the libality contract *
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