2021 Florida Chapters Fundraising Event

2021 Florida First Coast & Nassau Chapters


Batt Family Fun Center– 1838 Cassat Ave, Jacksonville, FL
✭   Check-in begins at 1pm. Bowling from 2-4pm
✭   Registration Fee: $15 per person – includes bowling, pizza, and soda

Prizes for Top Fundraisers & Top Bowlers ($100 minimum fundraising eligibility)

Event Hosts

Lori Bullington – (904) 303-5290 stfirstcoast@gmail.com
Charlene Phipps – (904) 868-9898 charspecialtouch@att.net
Please contact Event Hosts with any questions or for additional information

Who will be named this year’s Strike Force, A-Team, High Roller and MVP?

Show your Team Spirit!
Pick your Team Name and make your own t-shirts.


✭   Register as soon as possible to give you enough time to reach your fundraising goal.
✭   Follow a few simple FUNdraising steps (tools and instructions provided)
✭   Bring your collected donations and have FUN with us Oct 10, 2021


2021 STM Florida Chapter Fundraiser Registration
Step 1 of 3
Don't Delay!

FUNdraising for Special Touch is not just about having fun and raising money, it’s also about changing lives! Money raised will help continue the many ministry programs and services that ease and enrich the lives of people impacted by disability.
We appreciate your participation.
You will be receiving Fundraising instructions and future Event information through this email address.
⚠ IMPORTANT NOTICE: Participants registering in Special Touch Ministry events are required to sign a waiver, which is a legally-binding contract. If you are not your own guardian. PLEASE STOP HERE and have your parent or guardian complete this registration form for you. Thank you.

In consideration of being permitted by Special Touch Ministry, Inc. to participate in the Fundraising Event ("Event"). I understand and acknowledge that I am legally agreeing to the following statements and that these statements are being accepted and relied upon by the released Parties (as defined below).

I confirm that I have been given and have received and accepted authority to sign and execute the Agreement on behalf of the participant and further have been expressly given and received and accepted authority to enter into a legally binding agreement on behalf of the participant with respect to the matters contained herein and as stated herein.

In recognition of the risk of injury while participating in the FUNdraising for Special Touch and as consideration for the right to participate in the Fundraising Event, I hereby for myself, the participant, my heirs, executors, administrators, assigns, or personal representatives knowingly and voluntarily enter into this waiver and release of liability (“Agreement”) and hereby waive any and all rights, claims or causes of action of any kind whatsoever arising out of participation in the Event, and do hereby release and forever discharge Special Touch Ministry, Inc. and its affiliates, managers, members, agents, attorneys, employees, volunteers, heirs, representatives, predecessors, successors and assigns, the event site and its agents, attorneys, employees, volunteers, heirs, representatives, predecessors, successors and assigns and all sponsors and/or beneficiaries of the Event from any and all liability, claims, demands, damages, actions, or causes of action now existing or which hereinafter may arise as a result of participation in the Event, whether any injury is caused by the negligence of the hosts, the participant or third parties, the conditions of the facility or any other cause.

I attest that the participant is physically fit and if under the care of a licensed medical doctor, has been physically released to participate in this event and if permission is required by a legal guardian, permission has been given to participate in this Event.

The participant agrees to abide by all rules set forth by the host of the event. For safety purposes, the participant agrees to refrain from using headphones, cellular phones, or any other device, which may impair his/her actions during the event.

I understand and agree that permission is given to take photographs, video recordings, and/or audio recordings of the participant at this event, including name, image, likeness, performance, and/or voice. I also grant Special Touch Ministry an unlimited right to reproduce, use, exhibit, display, perform, broadcast, create derivative works from, and distribute these works in any manner or media now existing or hereafter developed, in perpetuity, throughout the world, without compensation.

I understand and agree that contact information, including email address, submitted to Special Touch Ministry, Inc. for participation in this event will be added to mailing and contact lists to be used solely by Special Touch Ministry, Inc. programs and services, to provide updated communication on this Event and future events and that I may opt out at any time, by submitting a written or electronic request for removal.

I understand there is an inherent risk of exposure to COVID-19, or any virus, in any public place where people are present. I realize that COVID-19 is a contagious disease that can lead to severe illness and death. I have reviewed Special Touch Ministry policies regarding COVID-19 at https://www.specialtouch.org/covid-announcements-get-away-2021, and understand that these are subject to change at any time. I understand and agree that any person participating in any Special Touch Ministry event is voluntarily assuming all risks related to exposure to COVID-19 and that Special Touch Ministry disclaims any and all liability related thereto.

I understand and agree that if the participant has been exposed to or experiencing symptoms of COVID-19, illness, or other contagious disease within two weeks prior to the event, they will contact the event Coordinator to cancel their registration and NOT participate in this event.

I agree to indemnify and hold harmless the event host(s) against any and all claims, suits or actions of any kind whatsoever for liability, damages, compensation or otherwise brought by me or anyone on my behalf, including attorneys’ fees, if litigation arises on account of claims made by me or anyone on my behalf.

I have read this document, and I am signing it freely. I understand the legal consequences of signing this document and I agree to be bound by the terms of this document. I acknowledge that I am either the participant, parent, or guardian and legally responsible to agree to these terms on behalf of the participant.