Note: Playhouses are intended for children ages 12 and under. (At least one child required *)

THEME IDEAS FOR THE PLAYHOUSE

What does your child(ren) like? (e.g. Superheroes, Sports, Princesses, Animals)... please list up to three examples. The more detail the better!

I agree to partner with Habitat for Humanity-MidOhio (HFHMO) in the following ways: (please initial *)

I agree that I will have my child(ren) at the Playhouse reveal. I would not ordinarily be able to purchase a Playhouse for my child(ren). I agree to pick up and transport the Playhouse. If I am not able to pick up, I will notify a HFHMO staff member immediately. I have attended, or agree to attend, a Playhouse Project orientation meeting. I give HFHMO, its representatives, and Playhouse build sponsor permission to and assign the right to use and reproduce my family and/or child(ren)’s name, image, likeness and/or voice in any and all forms of media including, without limitation, photographs, films, videos, tape recordings, and internet publications. I also authorize HFHMO to use and distribute for any and all purposes letters, stories, testimonials, other writings, quotations or verbal statements attributable to me. I make no further claim of any nature because of or connected with said use on my name, image/likeness, written or verbal statement made by me.

I agree that I understand/confirm the following important information: (please initial *)

I understand the size of the playhouse is approx. 4’ wide x 5’ long x 6’ high and that it is made of wood. It is heavy and awkward. HFHMO does not disassemble playhouses for pick-up. It will take 4-5 strong people to load and unload it. I will need a truck to transport it. It does not fit in a van. I agree to confirm truck type with pictures and measurements of the truck bed to a HFHMO staff member prior to pick-up. I confirm I have space for it in the yard or garage and verified that it will fit through any doors, gates, or fences. I understand that the paint on the Playhouse may not be completely dry by the pick-up time. I understand that media may be present, and that I may be asked to speak to the media. If I am not comfortable speaking with the media, I will communicate this fact to Habitat staff. I understand that Habitat reaches out to many organizations to find families to receive playhouses, and I may not receive one at the original specified date or location. If this happens, I understand that I will be placed on a waiting list for when another playhouse is built.