Upcoming Events

3/24/2012
3rd Annual Vegas at Variety: Wishing you could take a trip to Vegas? How about the next best thing? It’s time …read more...
4/7/2012
Variety’s 3rd Annual Autism Awareness Night at Please Touch Museum: The Please Touch Museum is opening it’s doors for the third year in a row exclusively …read more...
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Please Touch Museum Event for Children with Autism

Join Variety for our first-ever Autism Awareness Night at the Please Touch Museum! For one special night, the Please Touch Museum will open its doors just for Variety's families with a child on the autism spectrum.

Cost: $20 donation per family is required for admittance, payable by cash or check at the door.

Families that wish to use their Autism Connections credit for the $20 donation should register online below and e-mail marissatabak@varietyphila.org.

NOTE: Bold fields are required.

Child’s First Name

Child’s Last Name

Address

City

State

County

Zip Code

Childs Birthday

Child’s Age

Child’s Diagnosed Disability

Daytime Phone

Evening/Cell Phone

Email Address

Parent/Guardian’s Main Employer

Childs Member Identification Number

Who referred you to Variety: The Childrens Charity?

Name
Affiliation

Only those people listed below are permitted to attend this event. Please list everyone attending, including the child with a disability.

Attendee #1 (Child)

Name

Attendee #2

Name
Relationship to Child

Attendee #3

Name
Relationship to Child

Attendee #4

Name
Relationship to Child

Attendee #5

Name
Relationship to Child

Attendee #6

Name
Relationship to Child

Waiver of Liability

For and in consideration of free admission into Variety – The Children’s Charity’s “Please Touch Museum Event for Children with Autism”, an event held on Mar 27, 2010, I, the undersigned, on behalf of myself and as parent and/or legal guardian of all children accompanying my group, do hereby agree as follows:

Whereas the undersigned desire to participate in “Please Touch Museum Event for Children with Autism”, a charitable event sponsored by Variety – The Children’s Charity of Greater Philadelphia, I understand and agree that Variety – The Children’s Charity, Variety Club Camp (and all of its affiliates), Please Touch Museum, and all related sponsors, vendors, employees, agents, directors, volunteers and staff (hereinafter collectively referred to as “Released Parties”) shall not be responsible or legally liable for any loss of personal property, or any bodily injury, including death, incurred or suffered by me or any children accompanying my group as a result of our participation in “Please Touch Museum Event for Children with Autism” or our presence on the property of Please Touch Museum and/or Variety – The Children’s Charity. As a further condition of our participation, we agree to forever remise, release, discharge and hold harmless the Released Parties for any and all claims at law or equity that I or any children accompanying my group, or any heirs, successors and/or assigns have, had or will have stemming from our participation in “Please Touch Museum Event for Children with Autism” or our presence on the property of Please Touch Museum and/or Variety – The Children’s Charity.

Additionally, I agree to indemnify and hold harmless the Released Parties from or related to any loss of personal property and/or bodily injury, including death, resulting from our participation in “Please Touch Museum Event for Children with Autism” or our presence on the property of Please Touch Museum and/or Variety – The Children’s Charity.

I hereby give my consent for medical treatment should I or any of the children accompanying my group be involved in an accident and/or health-damaging situation while participating in “Please Touch Museum Event for Children with Autism” or while present on the property of Please Touch Museum and/or Variety – The Children’s Charity.

Additionally, I give my consent to the Released Parties to use any of my or any of the children accompanying my group’s names, photographs, likenesses, writings, audio/visual, motion pictures and biographical information related to this event only, in any media for editorial, educational, promotional or advertising purposes. This consent shall be binding on myself and the heirs, executors, administrators and/or assignees of the children accompanying my group.

Each adult attendee, including myself, has read, understands, and agrees to all the terms of the above Waiver of Liability.

Verification

I verify that all the above information is correct and complete.
Your Name
Relationship to Child