As parent or legal guardian
of the child named above, I give my consent
for my child to be photographed,
interviewed, and/or to have his/her image and voice electronically recorded
(“the material”) to be used in connection with publicity for the Collingswood Youth
Theatre. In consideration for my consent, the Collingswood Youth Theatre
will only allow the material to be used in connection with news articles and in
promotions for publicity purposes.I hereby release the Collingswood Youth Theatre and the Borough of Collingswood,
its sponsor, from any legal claims
that I might have arising
out of the gathering or distribution of the material
described above.
I am over 18 years
of age, have read the foregoing consent
form and release
and confirm that I fully understand its contents.
I/We, the parent(s)/guardian(s) of the above named child, hereby give my/our permission for the said child to participate in any and all activities of the Collingswood Youth Theatre Workshop
sponsored by the Borough of Collingswood.
I/We, assume all risks and hazards
incidental to such participation. I/We do hereby waive, release,
absolve, indemnify, and agree
to hold the Collingswood Board
of Education, the Borough of Collingswood, the organizers, supervisors, directors, volunteers, and participants, and anyone else connected with the Collingswood Youth Theatre Workshop
from any claims
for accidents or illness arising
from participation in the
Collingswood Youth Theatre Workshop.
I/We
understand that every attempt will be made to contact me/us in case of an
emergency. If I/we can not be
reached, the Collingswood Youth Theatre personnel will attempt to call the
above numbers in the order given. I/We give my child permission to be transported by emergency medical
personnel to the hospital.
