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Registration Form

Parent Coffee (Lincoln)
06/05/2018 09:30 AM - 10:30 AM PT

Summary

Coastal Family Network
Nye Beach Market - 526 NW Coast St, Newport, OR 97365
Let's have Coffee! These informal coffee breaks are designed to create supportive conversation.
We totally understand busy schedules, too! If you must cancel please consider a 24 hour notice when possible. We are excited to see you soon.
Text: 503-739-2240 with your cancellation or questions.
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Demographic Information:
While the demographic information you provide is voluntary, the funding agencies that support FACT Oregon's work request demographic data periodically to make sure we are meeting our diverse community's needs. This information is anonymous, and will not affect support or services you receive from FACT Oregon.
FACT Oregon encourages you to set up your own account! You can update your information, make registering for an event a snap, or view donations!
Please create a login name and password, or use Facebook or Google to sign in! It's easy!
(Your password must be at least eight characters long, and contain at least one number.)
Waiver Statement:

Media Release Waiver

I hereby consent that the photographs and/or videos in which I and/or my child(ren) appear may be used by Family and Community Together (FACT Oregon), its assigns or successors, in any publication, multimedia production, display, advertisement or World-Wide Web Publication. Furthermore, I hereby consent that such information, photographs and videos shall be their property, and they shall have the right to sell, duplicate, reproduce and make other uses of such information, photographs and videos as they may desire free and clear of any claim whatsoever on my part. I release and forever discharge Family and Community Together (FACT Oregon), its agents, officers and staff from any and all claims and demands arising out of or in connection with the use of said photographs/images, including but not limited to, any claims for invasion of privacy or defamation.

If you have any questions or concerns, please call (503) 786-6082 or email: registration@factoregon.org to register.

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