P. O. Box 770607 Winter Garden, FL 34777 lift@liftdisability.net 1-407-228-8343

Missouri Lift – RSVP Family

Missouri Lift Monthly Events - Family RSVP

  • Please indicate the event for which you are registering.
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  • PLEASE READ CAREFULLY AND SIGN THAT YOU UNDERSTAND AND ACCEPT THIS INFORMATION.

     I give my consent that information in this form may be communicated to the Lift staff for the purpose of being equipped to provide the best care and assistance possible to everyone at the Lift event.  Permission is given only to Lift Disability Network to use photographs (individual or group) and/or multi-media images and recordings in the best interest of Lift Disability Network. I understand that photographs/video/images I take at any Lift Disability Network function are for my personal use only. Personal internet use of any video/media should be approached with caution with regard to misrepresentation.  I release Lift Disability Network, its staff, and volunteers, and the LIFT facility from all actions, damages, or personal injuries which may occur to me. I understand 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.
  • Type full name for signature