2020 Doors of Compassion Host Home Registration
Please fill out the following information. Upon receipt, a member of the Host Home Committee will be in touch with you about any additional needs. If you have any questions, please contact events@rmhcdayton.org.

Event Date: Saturday, April 25, 2020.
Email address *
Host(s) Name(s) *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Primary Phone Number *
Your answer
Secondary Phone Number
Your answer
Maximum number of guests you can accommodate (include yourself in this count, please) *
Your answer
Can guests fit at one table? *
Do you have pets? If so, please describe
Your answer
Will you allow RMHC Dayton to take photos of and in your home? *
Where will guests park? (i.e. driveway, street, etc.)
Your answer
Is your home accessible for persons with disabilities?
Any special circumstances we should be aware of? (i.e. kosher home, dry home, etc)
Your answer
Disclosure
*By submitting this form, the named host is confirming participation in the Doors of Compassion (DOC) event on Saturday, April 25, 2020. All hosts must check with their homeowners insurance to ensure adequate insurance coverage, in the event it is needed. Ronald McDonald House Charities of the Miami Valley will not be held liable for possible bodily injury/property damages before, during or after the event.

You hereby irrevocably grant to RMHC, its affiliates and others authorized by RMHC, the absolute right and permission to use your name, biographical information, voice, actions, photograph, video, likeness, appearance, interviews, evaluations, opinions, and any other information contained in, derived from or otherwise obtained by RMHC in connection with your participation, in any manner or media whatsoever, now known or hereafter created, worldwide, for purposes of advertising, social media, publicity, trade, or promotion. You acknowledge and agree that you shall have no right of approval, no claim to any compensation, and no claim arising out of any use of the Materials.

RMHC of the Miami Valley Region is a 501c(3) tax exempt organization, IRS Section 170(b)(2)(iii) for both federal and state tax purposes. Federal tax identification number is #31-096479.
A copy of your responses will be emailed to the address you provided.
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