Release and Assumption of Risk Agreement
In consideration of, and as part payment for, the rights for my child or children to
participate in activities with Portland Center Stage (“PCS”), including participation in
the PCS Teen Academy and events related thereto, including transportation to and
from, I have and do hereby voluntarily assume any and all risks of harm. I further
hereby release and discharge, covenant not to sue, and will indemnify and hold
harmless PCS, its officers, directors and employees, as well as its members,
managers, officers, subsidiaries, parent entities and trusts, affiliates, agents,
servants, and employees, and their respective successors heirs and assigns
(“Releases”), from any and all liability or causes of action or damages I now have or
that may arise directly or indirectly from or relate to participation in any of the
activities, including without limitation, liability or causes of action asserting or caused
by the negligence or breach of contract of Releases, and asserting loss of
consortium by or in relation to me, intending hereby to assume risks, grant a release
and to indemnify as broadly and inclusively and as unconditionally as permitted by
law.

The terms herby shall be binding on my heirs, executors and administrators. As a
parent or guardian, and, in consideration for permitting my minor child(ren) identified
below to participate in any of the activities of Portland Center Stage, the terms
hereof shall further serve as an assumption of risk and release for my child or
children. I personally agree to indemnify Releasees for any claims of such minor
child or children for any harm arising out of or relating to participation in the
activities, including claims asserting negligence of the Releasees. I also grant the
right to use any photos or films taken in their promotional effort.
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Email *
Names of Minor/s *
Guardian/Parent Name *
Your name will serve as a digital signature.
A copy of your responses will be emailed to the address you provided.
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