Professional Documents
Culture Documents
2016 P 4 Kregistration
2016 P 4 Kregistration
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)
KnightsName____________________________________Phone______________________
Address_________________________________________Email_______________________
Costs
Quantity
Total
$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
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_______________