HGMM Party Ponies
Full Name
Host's full name
Your answer
Name of contact:
Host's full name
Your answer
Phone Number
What is the best way to reach you?
Your answer
Mobile
Your answer
Email Address
Your answer
Event Date:
When will the event take place
MM
/
DD
/
YYYY
Event Time
When will the event begin and end?
Your answer
Public or Private?
Is this event a public or private event?
Additional Fun Pony Option!
Choose one.
Party-goers
How many do you think will be riding?
Your answer
Event Location
{please include: City, State, and Zip Code
Your answer
Would you like to get email updates about HGMM?
How did you hear about Higher Ground Ministry
Liability Form
I understand that I take responsibility for the guests, people involved and children and I am undertaking all activities here with Higher Ground Ministries of my own accord and will not hold Higher Ground Ministries, their employees, volunteers, subcontractors, or suppliers liable for any injuries that might occur as a result of me, my children, my guests or anyone nearby taking part in these activities. By participating in these activities I authorize the use of my guests photograph or likeness, still or motion, at the discretion of Higher Ground Ministries.
Signature: By checking the box, you are giving us the equivalent of a signature and have read and agreed to the liability form above.
In order to check the box, you must be at least 18 years of age.
Payment
Make checks payable to "Higher Ground Ministry Mission". Please mail checks to: 383 Collins Road, Sebree KY 42455.
If paying by Paypal, an extra $5 is required to cover fees.
Payment Options
How do you wish to pay for event?
Are you registering for:
Onsite Fee:
$40 for every additional hour.
Offsite Fee:
$40 for every additional hour.
Payment Total
Please do not send payment until the registration and payment total has been verified.
Your answer
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