Event registration
Registration for NCAARD program
Email address *
Participant's Name *
Your answer
Participant's Grade and Teacher *
Your answer
Parent or Guardian *
Your answer
Address *
Your answer
Phone - Cell: *
Your answer
Phone - Home: *
Your answer
Email *
Your answer
Emergency Contact *
Your answer
Emergency Contact Phone *
Your answer
Program *
Your answer
Fee: *
Your answer
Allergies or medical conditions of concern, including food allergies: *
Your answer
Participation Waiver (required): I understand that participation in any New Concord Area Arts and Recreation District (NCAARD) activity is on a voluntary basis. NCAARD shall not be held responsible for any injury or loss of property to me or my family while we are participants in any NCAARD activity. *
Required
Publicity Waiver (optional): My name and/or image and that of any minors under my guardianship may be used for the purpose of publicity by the New Concord Area Arts and Recreation District (NCAARD). This information may appear on displays and media showing NCAARD activities, such as the Daily Jeffersonian, Facebook, Instagram, Twitter, YouTube, Flickr, and the NCAARD webpage. *
Required
A copy of your responses will be emailed to the address you provided.
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