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Embed code for: DOCS1-608681-v1-ParentalRelease
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Parental Consent Waiver / Release of Liability
And Assumption of Risk Agreement
FOR GOOD AND VALUABLE CONSIDERATION, including permission for
to participate in the Theatre 29 auditions and related activities, I, the parent/guardian of the minor for myself and on behalf of the minor:
Consent to the minor’s or my participation in the event or activity; and agree that prior to the minor’s or my participation in the event or activity the minor and I will inspect the facilities, equipment, and areas where the event or activity is being conducted and, if either of us believes any of them are unsafe, I will immediately advise the person supervising the event, activity, facility or area of these facts.
Acknowledge that the minor and I fully understand that the minor’s or my participation may involve risk of serious injury or death, including economic losses, which may result not only from the minor’s or my own actions, inactions, or negligence, but also from the actions, inactions, or negligence of others, the condition of the facilities equipment, or areas where the event or activity is being conducted, the rules of play, or this type of event or activity.
Release, waive, discharge and relinquish the Theatre 29, the City of Twentynine Palms, and their officers employees, and agents from any liability, loss damage, claim demand or cause of action against them attributable to the minor’s or my participation in the event or activity, whether same shall arise by their negligence or otherwise.
Agrees to indemnify and save and hold harmless Theatre 29 and the City of Twentynine Palms and each of them from any loss, liability, damage or cost that may occur due in any manner or degree to the presence of the parent/guardian or the Minor in the participation in the event or activity, whether caused by negligence of Theatre 29 and the City of Twentynine Palms. The parent and/or guardian further recognize and agree they are executing this waiver and release of liability on behalf of themselves and on behalf of the Minor.
Assume any and all risks of personal injuries to the minor or myself and authorize the Theatre 29 and the City of Twentynine Palms to contact or employ a licensed physician to render any medical treatment that may be deemed necessary for the minor or myself or to take and admit the minor or myself to any hospital. If such medical treatment or hospitalization is required, I agree to pay all medical and hospital bills relating thereto, permanent or partial disability, or death and damages to the minor’s or myself, or any property thereof, caused by or arising from the minor’s or my participation in the event or activity.
Covenant not to sue or present any claim for personal injury, property damage, or wrongful death for or on behalf of the minor or myself against the Theatre 29, the City of Twentynine Palms and their officers, employees, and agents attributable to the minor’s or my participation in the event or activity.
Agree that photographs, pictures, slides, movies or videos of the minor or myself may be taken in connection with the minor’s or my participation in the event or activity without compensation from the Theatre 29 and the City of Twentynine Palms, and consent to the used of photographs, pictures slide, movies or videos for any legal purpose.
Warrant that the minor and myself are in good health and have no physical condition that would prevent the minor or myself from participation in the event or activity.
Acknowledge the Theatre 29 and the City of Twentynine Palms are not joint sponsors, joint venturers, partners or otherwise jointly engaged in the above named event or activity.
THIS DOCUMENT RELIEVES THE THEATRE 29, THE CITY OF TWENTYNINE PALMS, AND OTHERS FROM LAIBILITY FOR PERSONAL INJURY, WRONGFUL DEATH, AND PROPERTY DAMAGE CAUSED BY NEGLIGENCE
A PARENT AND OR PARTICIPANT MUST SIGN BELOW. LEGALLY APPOINTED GUARDIANS MUST SIGN AND FURNISH A CERTIFIED COPY OF LETTERS OF GUARDIANSHIP.
THE PARENT OR GUARDIAN HAS READ AND VOLUNTARILY SIGNS THE WAIVER AND RELEASE OF LIABILITY AND INDEMNITY AGREEMENT AND DOES SO VOLUNTARILY AND WITH THE UNDERSTANDING THAT SUBSTANTIAL RIGHTS ARE BEING GIVEN UP. I/WE FURTHER ACKNOWLEDGE THAT FAILURE TO WITNESS OR NOTARIZE THIS AGREEMENT SHALL NOT AFFECT ITS VALIDITY.
PRINTED NAMES SIGNATURES DATE
(Parent/Guardian) [circle one]
I HAVE READ THIS DOCUMENT SIGNED BY MY PARENT OR GUARDIAN AND JOIN THE WAIVER, RELEASE AND ASSUMPTION OF RISK. I AM AWARE OF THE RISKS INVOLVED IN MY PARTICIPATION IN THE EVENT OR ACTIVITY.
PRINTED NAME SIGNATURE DATE
PLEASE BE ADVISED THAT MINORS MAY NOT BE DROPPED OFF EARLIER THAN FIVE MINUTES PRIOR TO THE SCHEDULED START TIME OF REHEARSAL. MINORS MUST ALSO BE PICKED UP AT THE END OF THE SCHEDULED REHEARSAL, NO LATER. THANK YOU FOR YOUR COOPERATION.
ns, or negligence of others, the condition of the facilities equipment, or areas where the event or activity is being conducted, the rules of play, or this type of event or activity.