Lights On Lemonade

Welcome to our 5th annual LIGHTS ON LEMONADE! This program encourages and supports local young entrepreneurs by highlighting their lemonade stands and entering them in a drawing for TWO CASH PRIZES!

Here’s How It Works: Once your child is officially enrolled in our program by filling out the form below, 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 or Abigail at abigail@pactems.com.

PACT EMS Lights on Lemonade 2021 Participant Permission and Release Form

For children 14 years and younger participating in the 2021 PACT EMS Lights on Lemonade Program (June 14, 2021 - August 30, 2021).

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:
Parent Guardian Consent*
I hereby agree that my minor child/children may participate in the Lights on Lemonade Program 2021 by PACT EMS, and irrevocably grant my permission and authorize PACT EMS to record and photograph my minor child's/children's' 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/children's' 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/children's' 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 30, 2021.
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 agree to the 2021 Lights on Lemonade Terms and permit my child/children to participate in the 2021 Lights on Lemonade Program.
Parent/Guardian Name (Electronic Signature)*
First Last
Date*
Date Format: MM slash DD slash YYYY
Comments
This field is for validation purposes and should be left unchanged.

Lights On Lemonade

PACT EMS Lights on Lemonade 2021 Participant Permission and Release Form

By signing this Parental Consent Form: