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Redefine 2009 Flyer & Form

Mar 13, 2016

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Rachel Tilghman

Flyer Information and Permission/Expectations Form
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Page 1: Redefine 2009 Flyer & Form
Page 2: Redefine 2009 Flyer & Form

Redefine 2009 ExpectationsI am at least 18 years old and I agree to the following expectations.I will: • danceinwhateverwayIseefit• requestsongsthatIdeemappropriate• wearformalattireinthefashionwhichIchoose• notbeundertheinfluenceofasubstance,norwillIbringalcoholordrugstotheevent• respecttherules,staffandvolunteersofHaveaNiceDayCaféandRefine2009.

___________________________________ _________________ Signed Verified

I am a minor and I agree to the following expectations:I will: • danceinwhateverwayIseefit• requestsongsthatIdeemappropriate• wearformalattireinthefashionwhichIchoose• notbeundertheinfluenceofasubstance,norwillIbringalcoholordrugstotheevent• respecttherules,staffandvolunteersofHaveaNiceDayCaféandRefine2009• readtheinformationbelowwithaparentorguardianandobtaintheirpermissionbeforepurchasingaticket.

___________________________________ _________________ Signed Verified

Asaparent/guardian,Igivemypermissionfor______________________________toattend“Redefine2009”atHaveANiceDayCaféonSunday,May24thfrom8:00p.m.to11:30p.m.Iunderstandthat:• thisisaalcoholanddrug-freeenvironment• therewillbesecurityandchaperonespresent• thisisanorganizedeventforstudentswishingtoexpressthemselvesinasafeenviron-ment• bysigningthis,Iandmyminorareawareoftheexpectations• ifIhavequestionsregardingtheeventorwouldlikefurtherinformation,IcancontactRachelTilghmanat(804)201-8278atanytime.

___________________________________ _________________ Signed PhoneNumber

Asaparent/guardian,Iaminterested/notinterestedinhelpingwiththisevent,andtheplanningcommittee may contact me at:

___________________________________ _________________ EmailAddress AdditionalPhoneNumber

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FullName:___________________________________ DOB:_____________