2019 Hilltop Area Baby Shower Registration
We want to celebrate you! Baby Shower games, food, cake, and gifts!This is for women who are having a baby in 2019 who live in 43204 and 43228. (You will need to verify your pregnancy and your zip code.)
First Name *
Your answer
Last Name *
Your answer
Email Address *
By giving us your email, you confirm that we have permission to email you.
Your answer
Cell Phone Number *
Your answer
Do we have permission to send you text messages? *
(You will be responsible for all data charges for text messages.)
Primary Address *
Your answer
City *
Your answer
Zip Code *
Your answer
How old are you? *
Your answer
Race / Ethnicity *
What is your due date? *
MM
/
DD
/
YYYY
I agree to verify my pregnancy and my zip code. *
By checking "I agree" I am agreeing that I am pregnant or have had a child between February 1, 2019 and May 3, 2019. Upon arrival, you will need to VERIFY your pregnancy in order to participate. You can do this by showing a medical record of prenatal visits or an ultrasound. You will also​ need to verify your zip code​. This event is for residents of 43204 (or 43228). Otherwise, this registration is void. I also recognize​ that in order​​ for this registration​ to be complete, I need to arrive at the event before 1:15 pm​.
How many people will be attending? *
Include the total amount, including you, your partner, other children, or another support person.
Your answer
How did you hear about this event? *
Required
If you heard about us from a Healthcare Provider or another Agency, please tell us which one.
Your answer
Media / Photo Release *
Central City Church respects your right to accept or decline the sharing of images of you an/or your child. To that end, please read and sign the release below. BY checking "I agree" you are signing your name digitally. Thank you for your consideration.I hereby grant all rights to the church to use my child’s photograph and/or other reproduction of my child for publication purposes, whether print, video, digital, or electronic publishing via the internet. I further agree that any uses described may be made without compensation.I acknowledge the church’s right to crop or treat my child’s photograph at its discretion. I also acknowledge that the church may choose not to use my child’s photo at this time but may do so at its own discretion at a later date. I waive any right that I may have to inspect or approve the copy and/or finished product or products that may be used.
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