Happy Tales Reading Program Registration

Happy Tales Reading Program Sign Up

Child's Name*

Date of Birth*

Grade Level*

Parent or Guardian*

Email*

Phone Number*

Mailing Address

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.

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Happy Tales Reading Program Sign Up

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