REGISTRATION PAGE

Event Date:  August 24, 2024, 6:30 PM – 9:00 PM
Event Address: Southern Walk Pool, 43051 Waxpool Rd
Questions? events@broadlandshoa.com

Waiver and Registration

Parental/Legal Guardian Consent:
(I) (We), the undersigned, parent(s)/legal guardian(s) of a minor(s), do hereby consent to said minor(s) participating in the Broadlands Association, Inc. event. Furthermore, we understand and agree to the following conditions:

1. Participants are expected to be respectful towards other volunteers, staff members, and guests and must follow all safety rules and instructions provided to them. If any participant(s) behaves in a manner that is emotionally or physically harmful to guests, staff, or volunteers at the event, we will be contacted immediately to pick up our participant(s).
2. The HOA IS NOT RESPONSIBLE FOR ANY MINORS WHO LEAVE THE PREMISES WITHOUT PERMISSION.
3. Broadlands Association, Inc. reserves the right to use photos and videos of participants for informational and promotional purposes. However, we understand that our minor(s) will not be identified by name.
4. By completing this form, we are giving express permission for our minor(s) to attend. Parents may not stay at the event without signing up as a chaperone – space is limited for chaperones.

To complete your child/ren’s registration, please provide the following information:

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Participant #1 Name *

First

Last

Participant #1 Age *

Participant #2 Name

First

Last

Participant #2 Age

Parent/Legal Guardian Name *

First

Last

Parent/Legal Guardian Email *

Parent/Legal Guardian Phone *

Emergency Contact Number *

Comments

I understand that by selecting YES, I am approving my minor(s) to attend this event and that this approval shall remain effective from the arrival of my minor(s) until (He) or (She) or (They) leave the event location according to the Parent/Legal Guardian decision.

• Yes, I provide consent.

Submit