Shorefront Y Costume Carnival RSVP
We look forward to seeing you at our Free Carnival on Sunday March 5th at 2PM 
Sign in to Google to save your progress. Learn more
Email *
Parent's First Name *
Parent's Last Name *
Phone number *
Address *
Number of children attending with you: *
Child(rens) names: *

I hereby grant permission, without reservation, to the Shorefront YM-YWHA and the United Jewish Appeal-Federation of Jewish Philanthropies of New York Inc. (UJA-Federation) and those authorized by the Shorefront YM-YWHA and UJA-Federation, to take photographs and make recordings of me to use in original or modified forms of all media now or hereafter known, with or without our names or information about us, for the promotion, public education, and/or fundraising activities of both organizations. I understand and agree that I am entitled to receive no compensation for the above.

I release the Shorefront YM-YWHA and UJA-Federation, its officers, directors, agents, employees, independent contractors, licensees and assignees from all claims that I now have or may have in the future, in relation to the above.  I agree that the Shorefront YM-YWHA and UJA-Federation will be the sole owners of all tangible rights to the above mentioned photographs and recordings, with full power of disposition.

I am the parent or guardian of the minor(s) named above, and I hereby consent to the following on behalf of the minor(s) and myself.

 Please type your name below:

*
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy