Who's party are you attending? *If you don't know please enter the date and time of the partty 🙂How many kids are you bringing? *Please select an option123456789MorePlease enter the number of kids you are bringing.Your Legal Name *Important since you're signing this.Your Email Address *Your Phone Number (Optional)How would you like me to use your email? *Please do not use my emailJoin my mailing list (5 emails a year).Contact me about having a magic birthday party (3 emails).After party magic trick follow-up(s) (1 to 3 emails)Updates on any COVID-19 exposure (Hopefully 0 emails)My mailing list shares things of magical interest to kids. The after party magic trick update is recommended.Name of Child #1 *Please include their last name if your's is different.Name of Child #2 *Please include their last name if yours is different.Name of Child #3 *Please include their last name if yours is different.Name of Child #4 *Please include their last name if yours is different.Your relationship to child #1 *Parent, Guardian EtcYour relationship to child #2 *Parent, Guardian EtcYour relationship to child #3 *Parent, Guardian EtcYour relationship to child #4 *Parent, Guardian EtcBirthday emails for child 1?YesNoI would send you 3 emails leading up to the big day. Birthday emails for child #2?YesNoI would send you 3 emails leading up to the big day. Birthday emails for child #3?YesNoI would send you 3 emails leading up to the big day. Birthday emails for child #4?YesNoI would send you 3 emails leading up to the big day. Birthday of child #1Do not enter if you do not want info for this child. Birthday of child #2Do not enter if you do not want info for this child.Birthday of child #3Do not enter if you do not want info for this child. Birthday of child #4Do not enter if you do not want info for this child.COVID-19: May I use this child on stage? *YesNoYes or no, you will sign the release of liability for COVID-19 belowCOVID-19: May I use this child on stage? *YesNoYes or no, you will sign the release of liability for COVID-19 belowCOVID-19: May I use this child on stage? *YesNoYes or no, you will sign the release of liability for COVID-19 belowCOVID-19: May I use this child on stage? *YesNoYes or no, you will sign the release of liability for COVID-19 belowCOVID-19: May I use any of these kids on stage? *YesNoYes or no, you will sign the release of liability for COVID-19 belowList childs name and your relationship to themPlease include their last name if yours is different.List childs name, your relationship to them and Yes or No for on stagePlease include their last name if yours is different.List childs names, your relationship to them, Yes or No to being on stage & their birthday if you would like info.Please include their last name if yours is different and birthday so I may send you 3-emails leading up to the big day.List childs names, your relationship to them, Yes or No for on stage & their birthday if you would like info on a show.Please include their last name if yours is different. If you share a birthday, I will send you 3-emails leading up to the big day.Check one of 3 different releases.Please read these carefully, check the box you are agreeing to, sign and date.Release *In consideration for no value received, receipt whereof is acknowledged; I hereby give Richard C Darnell (aka Chad Wonder) and Chad Wonder Magic, Inc including marketing partners and any possible future iterations of Chad Wonder Magic, Inc, the irrevocable right and permission to publish and use, in perpetuity and throughout the world in any media known or not yet known, pictures or video of me and/or my minor. Your image(s) may be used in whole or in part, composite or retouched in character or form, in conjunction with and identified only by a fictitious name for any purpose as it relates to Chad Wonder Magic, Inc or his business entities. If the person photographed is under 18, I certify that I am his or her parent or legal guardian and I give my consent without reservation to the foregoing on his or her behalf. I have chosen my preference for Covid-19 above. Regardless of a Yes or No, I hereby release Richard C Darnell (aka Chad Wonder) and Chad Wonder Magic, Inc including any and all partners, prop manufacturers and suppliers from all liability resulting from a Covid-19 incident with my child, myself or any guest I bring to the event.Limited Release *In consideration for no value received, receipt whereof is acknowledged; I hereby give Richard C Darnell (aka Chad Wonder) and Chad Wonder Magic, Inc including marketing partners and any possible future iterations of Chad Wonder Magic, Inc, the irrevocable right and permission to publish and use, in perpetuity and throughout the world in any media known or not yet known, pictures or video of me and/or my minor. Your image(s) may be used in whole or in part, composite or retouched in character or form, in conjunction with and identified only by a fictitious name and may not be featured exclusively in the media. for any purpose as it relates to Chad Wonder Magic, Inc or his business entities If the person photographed is under 18, I certify that I am his or her parent or legal guardian and I give my consent without reservation to the foregoing on his or her behalf. I have chosen my preference for Covid-19 above. Regardless of a Yes or No, I hereby release Richard C Darnell (aka Chad Wonder) and Chad Wonder Magic, Inc including any and all partners, prop manufacturers and suppliers from all liability resulting from a Covid-19 incident with my child, myself or any guest I bring to the event.Limit time on screen?I would like you to minimize the use of my child(ren)s appearance in media.I would like you to limit my child(ren)s appearance in media to no more than a total of 15-seconds.I would like you to minimize the use of my child(ren)s appearance in media unless they were an on stage assistant.I would like you to limit my child(ren)s appearance in media to no more than a total of 15-seconds even if they were an on stage assistant.No Release Given *I would like my child's image blurred or removed from any media Chad Wonder Magic, Inc may create. I have chosen my preference for Covid-19 above. Regardless of a Yes or No, I hereby release Richard C Darnell (aka Chad Wonder) and Chad Wonder Magic, Inc including any and all partners, prop manufacturers and suppliers from all liability resulting from a Covid-19 incident with my child, myself or any guest I bring to the event.5. CommentsIf you have any special requests let me know.0 / 180Please sign and date *Thank youPlease do not fill in this field. Please do not fill in this field. Please do not fill in this field.
