2022 MI-AIMH Sponsor Application

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I wish to participate as a*
Scholarship Opportunities

Payment Information

Payment Method*

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month/year

Please enter first and last name

Street, City, State, Zip

Note: If you are paying my check, check must be made payable to Special D Events. Payment must be received at least 30 days prior to the event to guarantee participation. Mail to: Special D Events 3656 Betsy Ross Dr, Royal Oak, MI 48073

The undersigned understands the topic and products of services described must be appropriate to fostering the healthy development of infants, toddlers and their families and that MI-AIMH reserves the right to make a determination about which materials are appropriate to the intended audience. The undersigned further agrees to abide by all policies, rules and regulations of the this event. As a condition of enrollment and participation in any MI-AIMH/Special D Events, Inc. meeting or associated activities, participants and attendees of majority age (“participants”) grant MI-AIMH/Special D Events, Inc. irrevocable and perpetual permission to record and use their name, voice, likeness and/or picture in connection with their participation and attendance at such meetings, in any medium now known or hereafter invented, without further compensation to participants for this purpose. All photographs, audio tapes, videotapes, digital recordings, broadcasts and other embodiments created by MI-AIMH/Special D Events, Inc., which may include participants’ names, voices, likenesses and/or pictures, shall be the property of MI-AIMH/Special D Events, Inc., and participants waive any claims that they may have with respect to such uses including, without limitation, claims of defamation, invasion of privacy or infringement of rights of publicity, copyright, trademark or moral rights.

Sponsor Contact Information

The person listed below will be contacted for follow-up items related to this application.

Please select "Send me a copy of my responses" below to keep a record of your application.