Pets And Pajamas Registration

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Pets & Pajamas Registration

URL

This field is for validation purposes and should be left unchanged.

Child's Name*

Please fill out a separate form for each child if you would like to sign up multiple.

Date of Birth*

Grade Level*

Allergies or special instructions for your child*

Parent or Guardian*

Email*

Phone Number*

Mailing Address*

Choose which Pets & Pajamas you want to attend*

January 16th

February 20th

March 13th

April 17th

Please fill out a separate form for each child. The nights with spaces available are listed here.

Please provide the name and phone number for an Emergency Contact*

Waiver of Responsibility*

Yes

I give permission for child to participate in activities at SafeHaven Humane Society. I am doing so entirely upon my own initiative, risk, and responsibility. I hereby for myself, my heirs, my executor’s remise, release and discharge SafeHaven Humane Society, its officers and employees from all claims, demands, actions, or cause of action on account of any injury to me, my child, or my property which may occur during my time at SafeHaven. I also give SafeHaven Humane Society permission to use photos/footage of my child(ren) in future publications in regards to SafeHaven’s Humane Education programs.