Survey - Parade Liability Disclaimer - Children's Healthcare of Atlanta

Parade Liability Disclaimer

Contact Information

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Name:

Title	First Required	Last Required

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Email: Required

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Phone Number: Required

Yes! I want to be able to receive emails from Children's Healthcare of Atlanta Foundation staff, leaders, and programs.

Please read our Parade Liability Disclaimer carefully before agreeing to its terms. This disclaimer contains information regarding your participation in the Children's Healthcare of Atlanta parade. By checking the box below and typing your name into the signature box, you are confirming that the above statements are true. You agree that by typing your name, you are electronically signing this document.

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Question - Required - I agree to the above statements

Yes

Question - Not Required - Group name (if applicable)

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Question - Required - Signature of Consenting Individual:

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Question - Required - Acceptance Date

Month