Friendship Livestock Show - Due June 27
Livestock Show for individuals (10 y.o. - 21 y.o.) with special needs within Jasper County, IA. The show will be held July 20th at the Jasper County Fair Grounds. Waiver will be signed before the program starts at 5pm. If you have any questions, email Codi Holdeman (codiholde@gmail.com) or Camilla Schlosser (camillaschlosser123@gmail.com).
First Name
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Last Name
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Age
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Address
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Parent/Caregiver Attending Show with Participant
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Phone Number of Parent/Caregiver
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Email of Parent/Caregiver
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Description of Disability
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Does the Participant use a Wheelchair?
Does the Participant have Seizures?
Allergies?
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T-Shirt Size
Release and Consent to Photography and Videography
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