Event Registration Down to Box

Down to Box

06/06/2024 05:30 PM - 07/18/2024 06:20 PM MT

Participant First Name: Participant Last Name: Birth Date: / / Email: Phone Attendee Count

Waiver Statement:

By checking the box below, I understand that my child's participation in this program is voluntary. In consideration of my minor/adult child being permitted to participate in Down to Box, I hereby-for-myself and personal representatives assume any and all risks which might be associated with the event. I further waive, release, discharge and covenant not to sue Down Syndrome Network, Banner Neuro Wellness, and Down to Box, its officers, employees, sponsors, organizers, volunteers or other representatives or their successors and assigns, for any and all injuries or damages of any kind whatsoever suffered by myself and/or my minor child/adult as a result of taking part in the event and related activities. I authorize the use by Down Syndrome Network of any photo, film or video taken of me and/or my minor/adult child at the event for publicity and any purpose.I also authorize to receive text messages from DSNetwork knowing I can text STOP to opt out at any time.

Yes, I agree

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