Client Christmas Party Response Form 2015

Please complete and submit the information below by December 5th.

Client First and Last Name *This question is required.

Phone Number *This question is required.

Email Address *This question is required.

We invite clients to bring their children and one adult guest. Due to limited space, we are not able to accommodate additional children other than the client's own children and more than one adult guest. Thank you for your understanding.

Please provide the information below for the children you will be bringing:

Space Cell	Age / Boy or Girl?
Child 1	Child 1: Age / Boy or Girl?
Child 2	Child 2: Age / Boy or Girl?
Child 3	Child 3: Age / Boy or Girl?
Child 4	Child 4: Age / Boy or Girl?
Child 5	Child 5: Age / Boy or Girl?

I will bring an adult guest. *This question is required.

Client Christmas Party Photo Consent Agreement *This question is required.
I understand that photographs will be taken at the Christmas Party on December 12, 2015. The photographs will be used for Aid for Women's marketing purposes. The photographs may be posted to Aid for Women’s website, Facebook page and e-newsletter as well as used in printed materials. It is my understanding that these publications are provided free-of-charge to encourage support for the free services Aid for Women provides to clients. No identifying names will be mentioned with the photographs.

Do you give Aid for Women permission to use photographs of you, your guest and your children as described above?