URGENT NEED REQUEST
Please write the name of the child and their size that needs:
COAT (Youth Boy or Girl Sizes 5-16)
SHOES (Sneakers)- Adult Boy/Unisex Sizes 9-14
First Come, First Serve- Limited supplies - Request is not guaranteed.
BIKE REQUEST
Please write Name of the Child, Boy or Girl , Height and Weight.
Due to low productivity of companies, there is a limited supply of bikes. Your request is first come, first serve and your request does not guarantee a bike.
Weight and Height*
Number of pounds and height in feet and inches
Weight and Height
Number of pounds and height in feet and inches
Weight and Height
Number of pounds and height in feet and inches
Parent/Guardian Screening
Parent /Guardian must complete a Waiver and Photo Form for children registered. The applicant must be the parent and/or legal guardian of each child submitted on the application. THE DATE YOU PICK UP TOYS, YOU MUST SHOW A VALID GEORGIA DRIVER LICENSE OR GEORGIA IDENTIFICATION
Waiver and Photo Form
RE: Use of Name, Photograph, and Identity in Connection with Advertising and/or Promotion of the organization
For valuable consideration, I, the undersigned, hereby irrevocably consent to and authorize the unrestricted use by The Douglas Brothers Foundation, Incorporated and their subsidiaries, affiliates, and advertising agencies
(“companies”) of myself and/or my child’s name, photographs and identity in various TDBF website and collateral material, as well as miscellaneous print publications and other media outlets, and any personal information that I supply to Companies, in connection with advertising and promotion of the Companies and/or their products in any media, form of material selected by the Companies, without any right of prior review or further approval, whether such advertising and promotion is to the public, to the trade, or both, and in the corporate releases, newsletters and other communications of the Companies; and I hereby waive, and release and discharge said Companies and all agents, employees and officers of the Companies, including their agencies, media producers and customers from, any claims, liabilities and demands, past, present or future, including any that I do not now know of or anticipate arising in the future, none of which would affect my execution of this release if known to me, and waive all rights with respect to such use of my name, photograph, identity, and personal information including but not limited to publicity, privacy, psychological injury and libel.
FOR PARENT/GUARDIAN
I represent that I am and below-named legal parent/guardian, that I am over the age of 18, that I have read the foregoing and full understand the contents thereof, that the consideration that I have received for this Agreement, Release and Waiver is fair and equitable, and that I hereby give this Agreement, Release and Waiver of my own free choice.
This Agreement, Release and Waiver shall ensure to the benefit of the successors, assigns, licensees and legal representatives of the Companies and shall be binding upon my heirs, executors, assigns and legal representatives.
COVID-19 and Delta Variant Waiver of Liability Participation in Holiday Treat Festival Toy Pick Up
I am participating in the Annual Holiday Treat Festival Tree of Love Toy Pick Up of The Douglas Brothers Foundation and I hereby acknowledge that said organization is doing everything they can to protect the public as well myself as a participant and my children. To this extent, I agree to follow Center of Disease Control (CDC) and local health district guidelines and The Douglas Brothers Foundation policies and procedures for social distancing to reduce the spread of Coronavirus Disease, or COVID-19. This will require me and my children (of appropriate age) to wear a face mask covering the nose and mouth and maintain six (6) feet of distance between ourselves, fellow volunteers, and patrons of the organization as much as possible. This procedure will be required for visitor-to-visitor contact as well to limit exposure.
If you or your children feel sick or are experiencing any symptoms of COVID-19 (fever, cough, difficulty breathing, chills, headache, muscle pain, sore throat, or new loss of taste or smell), do not come to the event. Contact your healthcare provider for additional guidance.
I understand that there is no direct medical health coverage afforded to me and my children during this relationship with The Douglas Brothers Foundation. The Douglas Brothers Foundation is not responsible for any potential exposure to Coronavirus Disease, or COVID-19, or Delta variant which is not a direct result of negligence on the part of their employees, volunteers, or the organization.
By signing below, I agree to comply with the written instructions above. Failure to comply with these written instructions or verbal instructions from staff may result in my disqualification to participate and I may be asked to immediately leave the premises.