Release
I have read the dress code and behavior policies for the 2025 Winter Formal and give my student permission to attend.
I give my permission for my student to invite or bring the guest listed on this registration to the dance.
I also understand that certain behavioral guidelines have been placed upon my youth/child during this event. I understand that he/she is expected to adhere to these guidelines. In addition, I understand that failure to follow these guidelines could result in him/her being sent home without refund.
Medical Release
During the 2025 Winter Formal Dance: A Night Under the Stars, in case of accident, I do not hold any of the adult chaperones or Praise Assembly responsible for injuries. I give permission for the adult chaperones to authorize medical treatment for my child at the nearest emergency care facility, should an injury or illness occur. Please make sure that any student with allergies has necessary medicine with them. Please make sure that emergency contact number is good for us to reach you.
WAIVER/RELEASE FOR INJURIES OR HARM
In consideration of being allowed to participate in the 2025 Winter Formal, I acknowledge, and agree to the following:
Participation includes possible exposure to and illness from infectious diseases. I am aware of the existence of the risk on my physical person by attending this event; and, I am fully and personally responsible for my own safety and actions during this event. While particular rules and personal discipline may reduce this risk, the risk of contracting a serious illness and death does exist; and,
I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and, I, HEREBY RELEASE AND HOLD HARMLESS, Charlotte Cushman, Angie Greenwalt and Courtney Fugate, (along with all chaperones and participants) WITH RESPECT TO ANY AND ALL ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
By submitting your registration, you are agreeing to the conditions and requirements of the dress code, behavior policy and this release form.