RP_2016_Consent Form - Ragamuffin Parade NY

50
YEARS OF SMILES
ALONG 3RD AVENUE
Marching since 1967
Saturday, October 1st at 1pm (rain or shine)
PARADE ENTRY/REGISTRATION
PRE-PARADE
Complete the required information on the back of this form and return the bottom section to
your child’s school (if applicable) OR mail to Ragamuffin, Inc. at the address noted below.
DAY OF THE PARADE
11AM – 12:15PM O.L.A /Holy Angels Catholic Academy Yard: 74th Street (off 3rd Avenue)
JUDGING WILL BE CONDUCTED AT REGISTRATION AREA: 11:30-12:15PM
PARADE ASSEMBLY POINT
12:30PM 76th Street between 3rd & 4th Avenues 76th Street between 3rd Avenue & Ridge Blvd.
NOTE: School assembly locations/line of march will be available Parade Day at the Registration area, on posters
at 76th Street, as well as with Parade Marshals.
HOW TO REGISTER
OR MAIL TO:
1. Please complete back of this form
2. Keep the top section (to be worn by your child on Parade Day)
3. Sign and return the bottom section to your child’s school (if applicable)
RAGAMUFFIN, INC
9728 Third Avenue - Suite 504
Brooklyn, New York 11209
PRIZE DISTRIBUTION: HSBC Bank Parking Lot | 92nd Street And 3rd Avenue
Every child must have the TOP portion of the registration form pinned to their costume at parade time. Children should also be accompanied
by an adult along the parade route. Each child that is registered and marches the whole route in costume will receive a gift.
MAJOR SPONSOR
CO-SPONSORS
LAW OFFICE
OF
PETER P.
FERRAIUOLO
O
We Take Your Business Personally
WWW.RAGAMUFFINPARADENY.COM
RAGAMUFFINPARADENY
RAGAMUFFINSNY
50
YEARS OF SMILES
ALONG 3RD AVENUE
Marching since 1967
Saturday, October 1st at 1pm (rain or shine)
WWW.RAGAMUFFINPARADENY.COM
RAGAMUFFINPARADENY
RAGAMUFFINSNY
MAJOR
SPONSOR
We Take Your Business Personally
__________________________
Child’s First and Last Name*
__________________________
School Name*
BOY
GIRL
AGE
*Every child must be accompanied by an adult.
Keep this part and please make sure you pin it to
the back of your child’s costume.
Return the bottom section of this registration/consent form to your
child's school (if applicable) or mail to: Ragamuffin, Inc., 9728
Third Avenue., Suite #504, Brooklyn, NY 11209
__________________________
PARENT CONSENT FOR THE 2016 RAGAMUFFIN PARADE
I hereby give permission to my child______________________________________________to march in the Ragamuffin Parade on
October 1st, 2016 on Third Avenue, Brooklyn, New York. I also hereby consent to taking of photographs associated with the Ragamuffin
Parade and the right to use any such photographs for nonprofit purposes in all forms of media. I release Ragamuffin, Inc. From any and all
responsibility or liability for injury to my child, should my child be injured while waiting at the assembly area to march in the parade, or
injured while marching in the ragamuffin Parade. I am responsible for escorting my child to the assembly area and for my child after the
Ragamuffin Parade ends.
__________________________
__________________________
Parent/Guardian Name
School Name
__________________________
__________________________
Home Address
__________________________
Telephone
Date
__________________________
Signature
For additional information or if you have any questions please call: 718-307-7855
BOY
GIRL
AGE
__________________________