Audio Book Club Permission Slip for Participants Under 18

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Parents/Guardians please fill out this permission slip if your child/ward is under 18.

PLEASE READ!

Description of Event:
This will be a virtual interactive event held over zoom. Your child/ward will have the opportunity to engage with other students across the US. You are free to join in on the zoom call! We will be listening to one of R.L. Stine’s Goosebumps Books called the Haunted Mask 2. Here is a link to the audiobook. This will primarily be a listening session that will last for about three hours with interactive events in between. We will also be going live on Facebook and Instagram so those who can’t make it on the zoom can join in. We will be having a:
Costume contest
Trivia Contest
Dance Contest (Musical bumps)
Description of Activities
Haunted Mask 2/Halloween trivia - Anyone can participate whether you sign up or not before the event.
Individual or family virtual dance contest - Please indicate on this form if you are interested in participating. Your name will be called
Haunted mask costume contest - The attendees interested in participating can submit a haunted mask/Halloween costume photo of their choosing to bookclub@eyeslikemine.org prior to the day of the event for consideration with an opportunity of winning an e-gift card. No submissions for this activity will be accepted once the event begins.

Please copy and paste this paragraph with the child's/ward's name inserted: I give_________(child/ward name) permission to attend Eyes Like Mine’s Audio Book Club on October 31st. I/We understand all reasonable safety precautions will be taken at all times by Eyes Like Mine Inc. and its agents during the events and activities. I/We understand the possibility of unforeseen hazards and know the inherent possibility of risk. I/We agree not to hold Eyes Like Mine Inc., its leaders, employees, and volunteer staff liable for damages, losses, diseases, or injuries incurred by the subject of this form. *

Parent/Guardian Name *

Parent/Guardian Email *

Emergency Contact Name *

Emergency Contact Email *

Emergency Contact Phone Number *

Thank you!! We'll see you October 31st at 5 pm ET.

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