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Princess for a Knight

Polishyourglassslippersanddustoffyourtiaras!AllPrincessesin
thelandarecordiallyinvitedtoputontheirfinestgownsandbring
theirPrincetoamagicalnightofdancingandfun!
(Dads,Grandfathers,BrothersandUncleswelcometoattend.)

Date:
Saturday,March5,2016
Time:
7:00pm9:00pmDoorsopenat5:30pmPrincessPromenadebeginsat6:30pm
Location:
LincolnIntermediate,1625S.PennsylvaniaAve,MasonCity,IA50401
Costs:
$20/couple$5foreachadditionalPrincess

MomsandFriendswelcomeforphotosofthePrincessPromenadeonlyplease.
Allproceedsbenefitthe
CerroGordoRelayforLife
&the
AmericanCancerSociety
.
Allticketsarenonrefundable.

Therearealimitednumberofticketssoldforthisevent.
Allprincessesmustbeescortedbyanadult.

Contactus:
relaynightcrawlers@gmail.com
Formoreinformation:
www.relaynightcrawlers.weebly.com
or
visitusonFacebook(NightCrawlersAmericanCancerSociety)

Princess for a Knight Registration Form

KnightsName____________________________________Phone______________________

Address_________________________________________Email_______________________

The Royal Party

Costs

Quantity

Total

Knight & 1 Princess

$20

$20

Additional Princess(es)

$5

TotalFee:_________

Makecheckspayabletothe
AmericanCancerSociety
.

Mailorbringregistrationform,waiver&paymentto:
FlooringAmerica

,35014thStSW,MasonCity,IA50401
OfficeHours:Mon9:00am8:00pmTueFri9:00am6:00pm,Sat10:00am5:00pm

Princess for a Knight

RELEASEandWAIVERofLiability

I,theundersignedparticipant,ortheparent/legalguardianoftheminor,understand,
acknowledge,andagreethatinconsiderationofbeingallowedtoparticipateinthe
Princessfor
aKnight
eventagreetothefollowingconditions:

Thevolunteersofthe
PrincessforaKnight
event,team
NightCrawlers
,
Lincoln
Intermediate
,and/orsponsoringorganizationsdoesnotprovidemedicalcoverageor
insuranceforindividualparticipants.Allmedicalinsuranceprotectionmustbeprovided
bytheparentsorparticipant.Iherebygivemyconsentandapprovalformychild/myself
toparticipateinthisactivity.Iwaiveanyandallclaimsforinjuryordamageagainstthe
NightCrawlers,LincolnIntermediateandsponsorswhichIormychildmayincurwhile
participatinginthisevent.

Igrantfullpermissiontotheeventorganizers/sponsorsandauthorizethemtouseany
photographs,videos,recordings,oranyrecordofthiseventforanylegitimatepurpose.

KnightName_________________________________________________________________
PLEASEPRINT

KnightSignature___________________________________________Date_______________

Parentorlegalguardianforminors(
onlyifdifferentthanadultparticipant):

PrincessName(s)_____________________________________________________________
PLEASEPRINT

____________________________________________________________________________
PLEASEPRINT

Parent/Guardian___________________________________________Date_______________

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