I, being aware of my child’s health & physical condition, and having knowledge that participation in any physically active program may be injurious to my child’s health, am voluntarily allowing my child to participate in this theatrical workshop opportunity. Having such knowledge, I hereby acknowledge, this releases any representatives, agents, and successors from liability for accidental injury or illness, which may occur, as a result of my child participating in this workshop. I hereby assume all risks connected therewith & consent that my child may participate in said program. I agree to disclose any physical limitations, disabilities, ailments, or impairments which may affect my child’s ability to participate in said theatre workshop. In the event that I cannot be reached, in case of emergency, the bearer of this form is authorized to act on my behalf to seek medical treatment, as they deem necessary for my child, named above. I do hereby grant Marvin Ridge Theatre Arts Boosters (MRTAB) the unlimited right to use and/or to reproduce photographs, likenesses, video, or the voice of my child taken during my child’s participation in this MRTAB supported event. I understand that these images may appear on MRTAB social media accounts and promotional materials to be used by the MR Theatre program. My child will not be named at any time. Please type your name below to indicate signature. Any questions can be sent to marvinridgetab@gmail.com.
