April 28, 2018, 6:30pm - 8:30pm
Drinks and Hors d'Oeuvres
DJ and Dancing
Ice Cream Sundae Bar
Free Raffle Ticket for each Tie and Tiara
Limited Tickets Available
2018 Ties & Tiaras Registration
Name of Tie
Name of Tiara
Ties and Tiaras - $20
Additional Tiaras - $3
Tie and Tiara
Mail payment to: NCKDSS, C/O Shella Thoman, 703 E 7th, Concordia, KS 66901
Waiver. In consideration of me and/or my minor child being permitted to participate in Ties & Tiaras, I hereby for myself, my heirs and personal representatives assume any and all risks which might be associated with the event. I further waive, release, discharge and covenant not to sue the Down Syndrome Society, its officers, employees, sponsors, organizers, volunteers or other representatives or their successors and assigns, for any and all injuries or damages of any kind whatsoever suffered by myself and/or my minor child as a result of taking part in the event and any related activities. I also authorize the use by NCKDSS of any photo, film or video tape taken of me or my minor child at the event for any purpose.
I agree to the waiver.
Please list any comments or notes. Thank you.
Please enter the information requested into the box below