Pathway's Harvest Party
Saturday, October 30th, 2021 @ 6PM - 9PM
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Parent's Full Name: *
Parent’s Phone Number *
Child's Full Names and Age (Please place the names of all children who will be attending. For example: Charlie Doe 6, Anna Doe 5, etc.): *
Please provide if any child has any allergies (Provide child name and allergy. For example, Charlie Doe: peanuts, etc.): *
Please provide if any child has any medical conditions (Provide child’s name and medical condition. For example, Anna Doe: asthma etc.): *
Pathway will be publishing photos and/or videos of the children on their website and social media platforms. Parents please check off below if you are providing Pathway consent to publish those photos and/or videos of your children: *
Parents please provide us with an Emergency contact. Provide their FULL name, phone number, and the relationship to child. (For example, Becky Thompson: Aunt, 7321234567) *
Pathway may have a Bouncy House present at the Harvest Party. Parents please check off below if you’re giving permission for your child(ren) to participate in this activity (Please be aware that there will be a number limit of how many children can go on at a time!) *
Parents please provide us will the FULL name of the person that will be picking up your child(ren) once the Harvest Party ends. (For example: Jake Parks:mother) *
How did you hear about Pathway? (For example: Friend (Sarah Lee), Family (Jane Doe), Social media:(FB, Instagram etc.), etc. *
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