Chinmaya Mission Orlando

Chinmaya Mission Orlando

To give maximum happiness to maximum people for maximum time

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My Bala Vihar

Strike a CORD

A Fund Raiser for Chinmaya Organization for Rural Development

Guys Sports Day at CMO! Saturday, May 21 from 4:00pm to 7:00pm

Participant 1 Full Name

Participant11 Date of Birth

Participant 1 Interested in:
VolleyBall

Cricket
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Participant 2 Full Name

Participant 2 Date of Birth

Participant 2 Interested in:
VolleyBall

Cricket
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Participant 3 Full Name

Participant 3 Date of Birth

Participant 3 Interested in:
VolleyBall

Cricket
Please select at least one option

Email Address

Phone Number

Emergency Contact Name

Emergency Contact Phone

Please specify any allergies or special instruction related to each child registered

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Total Amount
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Release/Indemnification
I hereby consent to the above listed participation and release absolutely, discharge, hold harmless and covenant not to sue Chinmaya Mission of Orlando, Inc. (CMO), and its directors, committee members, volunteers, and affiliates from any and all present or future liability, claims, demands, actions or rights of action, whether asserted by me or a third party arising out of my (or my child's) participation in CMO's activities("Claims"). I agree to indemnify and hold harmless CMO for any such Claims brought by me or a third party from any costs associated with defending or litigating such claims, including but not limited to attorney fees, costs and legal expenses. Medical Emergency. I understand that every effort will be made to contact the parent/contact listed above in case of illness or emergency, prior to the administration of any medical service. I hereby authorize CMO administrators and on-duty volunteers to render first aid for illness or injury to my child and to use their best judgment to secure the medical attention they deem necessary for the health and safety of my child, including transporting him/her to the nearest available hospital/emergency care centre for emergency medical or surgical treatment. I further authorize the release of the above medical information to all medical personnel providing treatment. I agree to be solely responsible for the payment of all expenses incurred in such an emergency. Photos/Videos. I hereby permit CMO to use, in whole or in part, photographs, videos, written extractions, and voice recordings of me or my child for the purpose of posting on the website, illustrations and publications. I will separately notify CMO in writing if I do not wish to permit this. Parent/Guardian: I hereby affirm that I am the parent and/or legal guardian of the children registered above (if any)

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