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Telethon Party Registration and Invite Forms Livingston High School TV Program in partnership with Livingston Education Foundation presents a TV Studio Telethon-Airing 11:00 am–Midnight 30 Robert Harp Drive Livingston, New Jersey 07039-3987 Phone: (973) 535-8000 x 8047 * Fax: (973) 994-4297 Telethon Party Host Registration for SATURDAY, JUNE 7… As an on-air THANK YOU for your MINIMUM Spend an evening with friends and PARTY donation of $100: family while supporting the LHS TV $10 per party attendee Telethon! BETWEEN THE HOURS OF 7:00 p.m. AND 10:00 p.m. HOW??? EASY!!! o Host name mentioned on the show, o Party ‘shout-out’ on the show, and Host a Telethon Viewing Party…in your own style~in o Show a photo of the group, your own home…Invite your friends to a: Submit photos on Instagram with our hashtag #LHSTVTelethon $15 per party attendee Pizza Party, Sleepover, Dinner Party, ‘I’m A Fan Of A BETWEEN THE HOURS OF Performing Band Party’, An End Of School Year 7:00 p.m. AND 10:00 p.m. Party, A Musical Recital Party, Bring a Dessert o Host name mentioned on the show, o Party ‘shout-out’ on the show, Party… Make it your own party!!!!!! o Show a photo of the group, Submit photos on Instagram with our hashtag #LHSTVTelethon 1. Hosts register with LEF on the form below by 5/23. AND 2. Return registration form and Attendee RSVPs with o Air an approximately 30 second video (Tell us something about your party, as long as it is TV all donation checks by 5/23…Minimum Total $100 appropriate) 3. Indicate whether you will need an Submit video through our email ; o “Early Bird Shout Out” –Photos/videos must [email protected] be submitted by 7:30 pm, or I can’t host a party, but please accept my o “Late Night Shout Out - Photos/videos must donation in the amount of $___________ be submitted by 8:30 pm for parties starting later in the evening, You will be contacted to confirm receipt of your donation. ~All photo/video content must be pre-approved and appropriate for television~ NO PARTY ‘THANK YOU’ WILL BE AIRED WITHOUT PAYMENT. Attendees under 18 must submit a party RSVP with parental/guardian signed media consent to participate. See Party Invitation. LEF is a 501 (c) 3 organization. Contributions are tax deductible to the extent permitted by law. Our Federal Tax ID number is 52-1799773 ________________________ Additional forms available on the LEF website: www.livingston.org/lef_______________________ HOSTS MUST BE OVER 21 YEARS OF AGE. Attendees under 18 must submit a party RSVP with parental/guardian signed media consent. See Party Invitation. Send invitations and collect guest donation checks payable to: Livingston Education Foundation Mail registration and individual Party checks/RSVP’s to: Livingston Education Foundation-LHS TV STUDIO c/o Sharon Cimbol, 16 Sycamore Terrace, Livingston, NJ 07039 no later than May 23, 2014 PLEASE PRINT Host Name: _____________________________________________________________ Address: _________________________________________ City, State, Zip: _________________________________ Phone: __________________________________ Email: _______________________________________________ (Circle one ‘Shout Out’ ~ Early or Late) Type of Party (i.e. Pizza, Dinner): ___________________ Early Bird Party or Late Night Party Hours: _______ to ______ As host, I agree that no alcohol will be served to anyone under the age of 21. Host signature: ________________________________________________________________ If you have questions for LEF, email: [email protected] - Put LHS TV Studio in the subject line or call 973-597-1323. For Office Use Only: Payment received by ____________________________________ Check #___________ Date: __________ Livingston High School TV Program in partnership with Livingston Education Foundation presents a TV Studio Telethon-Airing 11:00 am–Midnight 30 Robert Harp Drive Livingston, New Jersey 07039-3987 Phone: (973) 535-8000 x 8047 * Fax: (973) 994-4297 Telethon Party Invitation for SATURDAY, JUNE 7… Come watch the TELETHON!!!! As an on-air THANK YOU for the MINIMUM PARTY donation of $100: Your are invited to attend a $10 per party attendee BETWEEN THE HOURS OF 7:00 p.m. AND 10:00 p.m. o Host name mentioned on the show, Type of Party____________________________ o Party ‘shout-out’ on the show, and o Show a photo of the group, Hosted by: ___________________ Submit photos on Instagram with our hashtag #LHSTVTelethon $15 per party attendee Address: _______________________________ BETWEEN THE HOURS OF 7:00 p.m. AND 10:00 p.m. o Host name mentioned on the show, Date: Saturday, June 7 o Party ‘shout-out’ on the show, o Show a photo of the group, Submit photos on Instagram with our hashtag #LHSTVTelethon Time : ___________ to __________ AND o Air an approximately 30 second video (Tell us As a guest, you are being asked to donate something about your party, as long as it is TV appropriate) $_____ in support of the LHS TV Telethon. Submit video through our email [email protected] By sending in your RSVP, you are consenting to having your I can’t attend the party, but please accept my name/photo/video appear on Comcast Cable Channel TV-34 and donation in the amount of $___________ Verizon FIOS Channel 26 as well as internet LIVE STEAM for all showings of the Telethon and for all purposes of publicity. NO PARTY ‘THANK YOU’ WILL BE AIRED WITHOUT PAYMENT. Attendees under 18 must submit a party RSVP with parental/guardian signed media consent to participate. See Party Invitation. LEF is a 501 (c) 3 organization. Contributions are tax deductible to the extent permitted by law. Our Federal Tax ID number is 52-1799773 ________________________________________________________________________________________________________ Make checks payable to: Livingston Education Foundation - One RSVP per person attending Additional forms available on the LEF website: www.livingston.org/lef Return check and this form to your host with your RSVP by _____________________. (date) PLEASE PRINT Name of Guest: _____________________________ Parent Name for guest under 18: _______________________ Address: _________________________________________ City, State, Zip: _________________________________ Phone: __________________________________ Email: _______________________________________________ (For attendees under 18) I give permission for my child, ________________________, who is under the age of 18 to have his/her name/photo/video appear on Comcast Cable Channel TV-34 and Verizon FIOS Channel 26 as well as internet LIVE STEAM for all showings of the Telethon and for all purposes of publicity. Parent/Guardian Signature:_____________________________________________ Date: _______________ If you have questions for LEF, email: [email protected] - Put LHS TV Studio in the subject line or call 973-597-1323. For Office Use Only: Payment received by ____________________________________ Check #___________ Date: __________ .
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