celebrating 10 years in greenwich!files.ctctcdn.com/dbfde9d0301/5b4f8ca1-448b-4e88-bab9... · 2016....
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Celebrating 10 Years in Greenwich!
"Filmmakers Ink is outstanding!...Ilove your program!...This was betterthan my wildest dreams!...We laughed
and laughed!"
Child's Name/Age:_____________________________________________ Home Phone______________________________
Parent's Name___________________________________________________ Cell Phone_____________________________
Medical Concerns_____________________________________________________ Email____________________________
Address_____________________________________________________________ Program________________________________
Total Enclosed______________
I, the parent/legal guardian of the above named child, do hereby give my permission for
my/his/her participation in activity entered above. I assume all risks and hazards
incidental to such participation. I do hereby waive, release, absolve, indemnify and
agree to hold harmless for myself and/or the above named child, the Greenwich
recreation division, the organizers, Filmmakers Ink staff & participants.
__________________________________________________
Parents or Legal Guardian Signature/Date
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