Lights On Lemonade

It’s time for LIGHTS ON LEMONADE! We’re thrilled to be in our 4th year of offering this wonderful program which encourages and supports local young entrepreneurs and offers TWO CASH PRIZES.

Here’s How It Works: Once your child is officially enrolled, you let us know when and where your child will be selling their items. Members of the PACT EMS family will arrive in one of our ambulances and flash the lights to advertise your business and purchase some of your child’s offerings. We’ll post the details on the PACT EMS Facebook and Instagram pages to advertise your child’s sale to help your child bring in more customers.

The Rules: If you’re child is 14 years old and under and planning on having a lemonade stand (or other small entrepreneurial endeavor), please complete and submit the form below to officially enroll them in the Lights on Lemonade program. Please enroll your child with at least 48 hour notice so that we can prepare your custom social media posts and schedule our crews. To be eligible to participate you must reside in either Moscow or Pullman.

For more information, please contact Kelly at kelly@pactems.org.

PACT EMS Lights on Lemonade 2020 Participant Permission and Release Form

For children 14 years and younger participating in the 2020 PACT EMS Lights on Lemonade Program (June 22, 2020 - August 31, 2020).

Name of Child #1*
Age (Child #1)*
Name of Child #2*
Age (Child #2)*
Name of Child #3*
Age (Child #3)
Name of Child #4*
Age (Child #4)*
Parent/Guardian Name*
Phone*
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
What items will you be selling at your stand?*
Date of Your Lemonade Stand*
Date Format: MM slash DD slash YYYY
Time Your Lemonade Stand Opens*

: HH

MM
Time Your Lemonade Stand Closes*

: HH

MM
Address (Location) of Your Lemonade Stand*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
By signing this Parental Consent Form:
*
- I hereby agree that my minor child/children may participate in the Lights on Lemonade Program 2020 by PACT EMS, and irrevocably grant my permission and authorize PACT EMS to record and photograph my minor child's/childrens' likeness for the purposes of the Lights on Lemonade Program, and for in advertising, marketing, publicity and promotion related to the Lights on Lemonade Program, and to reproduce and publish the same throughout the universe in perpetuity, in any and all media now known or hereinafter devised.
- I understand my minor child's/childrens' first name may be posted together with my minor child's/children's likeness on the PACT EMS Facebook and Instagram pages, and website or other public forum without any additional notice to or permission by me.
- I agree that neither I nor my minor child/children shall make any claims against PACT EMS based upon distribution or use of the material or the Lights on Lemonade Program and its elements to which I have consented on behalf of my minor child/children. I release PACT EMS and assign from any and all claims and liabilities whatsoever that may occur in relation to or arising from my minor child's/childrens' participation in the Lights on Lemonade Program, from recording, filming, or videotaping my minor child/children, and from showing, using or distributing such recordings and photographs. I agree that this Consent and Release will be governed by and construed in accordance with the laws of the State of Idaho.
- I agree that my minor child/children may participate in the Lights on Lemonade Program and certify that my child/children are 14 years of age or under, permitting them to accept the prizes awarded to the winners drawn at random on August 31, 2020.
- I hereby warrant that I am a legal competent adult and a parent or legally appointed guardian of the minor child/children named above, and that I have every right to contract for the minor child/children in the above regard.
- I understand that PACT EMS will NOT share any of this private information but will only use it for purposes of advertising my minor child's/childrens' participation in the Lights on Lemonade Program or selection and notification of winning the prizes awarded on August 31, 2020.
- I certify and acknowledge that I have read and understood this Parental Consent Form prior to signing it; that I have the full authority to give my consent and release so that my minor child/children may participate in the PACT EMS Lights on Lemonade Program and that I consent to provide the information concerning my minor child/children that is necessary to enter the Program contest and to receive the prizes to be awarded. Accordingly, and intending to be legally bound, I voluntarily agree to the terms set forth herein and acknowledge and agree that my minor child/children and myself are bound by these Lights on Lemonade Terms and I am bound by the Terms of this Parental Consent. This release shall be binding upon my minor child/children, me, or our respective heirs, legal representatives, and assigns.
Parent Guardian Consent*
I agree to the 2020 Lights on Lemonade Terms and permit my child/children to participate in the 2020 Lights on Lemonade Program.
Parent/Guardian Name (Electronic Signature)*
First Last
Date*
Date Format: MM slash DD slash YYYY

Lights On Lemonade

PACT EMS Lights on Lemonade 2020 Participant Permission and Release Form

By signing this Parental Consent Form: