Milkshakes & Red Carpet Conversations Event Registration (Cheraw, SC)
EVENT DATE: Saturday, March 24, 2018
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Email *
Father's Name *
Father's age? (if applicable) *
How many daughters do you have? *
What are their ages? *
What is the name of your organization or group (if applicable)
Jakayla M. Green's websites and Social Media contains information on our programs/events. Participant photos may be posted on our website, social media, or other marketing materials to showcase events and activities. By attending this event, you give this organization permission to photograph and or video you and your minor child to be included in the previously stated media expressions and marketing without compensation. If you agree to these terms, please type your name and today's date below.
MEDIA RELEASE FORM
Parent/Guardian Signature (Please type below) *
Today's Date *
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A copy of your responses will be emailed to the address you provided.
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