Women’s Autumn Snack Group

Women’s Snack Group
Date: Thursday, October 15th
Time: 10 a.m.
Location: Barren Heights Community Center
Address: 11420 Watterson Court, STE 800, Louisville, KY 40299

Let’s get together to pray and chat! Take a beat in the rush of school and fall activities to snack, pray, and breathe at Barren Heights. We’ll have all the best snacks and a few relaxing activities and coloring pages to help us unwind from the busyness of everyday life. Complete the form below to RSVP so we have enough snacky goodness to go around!

Women's Snack Group

• Name*
  First Last
• Address*
  Street Address City State / Province / Region ZIP / Postal Code
• Phone Number*
  Format: (xxx) xxx-xxxx
• Email*
• Do you have a child with intellectual or developmental disabilities?*
  • Yes
  • No
• Would you like to receive email updates from Barren Heights?*
  please selectYes, emails concerning guest family opportunitiesYes, emails concerning volunteer opportunitiesYes, emails concerning all opportunities!No, thank youI already receive your email updates
• Please check if you agree with the following statements:
  • I give my consent that the information given at registration may be communicated with leaders and volunteers for the purpose of being equipped to provide the best care and assistance possible to my family.
  • I give my consent that photographs, interviews and audio/visual recordings during the course of the event may be used by Barren Heights for training, promotion, and fundraising.
  • I release Barren Heights, its directors, volunteers, and the Community Center facility from all actions, damages, or personal injuries which may occur to me. I understand that in the event of a minor injury, I may receive first aid treatment. In the event of an emergency, injury, or illness, emergency medical services and I will decide the best course of action. If I am unable to respond to leaders or emergency medical services, I authorize them to take whatever action is necessary for my safety and health.
  • I understand that in order for everyone to experience a sense of calm, peaceful relaxation, the Community Center facility is an alcohol, drug, and smoke-free environment. Use of cell phones is discouraged except when necessary.
  • By checking this and the above statements and submitting this registration form, I hereby agree to this hold harmless form and all its contents. I waive on behalf of myself, my heirs, and any personal representatives all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss. I understand that this release discharges all Barren Heights and the Community Center facility from any liability or claim that I, my heirs, or any personal representatives may have against them with respect to any bodily injury, illness, death, negligence, medical treatment, or property damage that may arise from, or in connection to any services rendered. This liability waiver and release extends to Barren Heights and the Community Center facility together with all owners, partners, volunteers, and employees.
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