Upon acceptance of this scholarship, you agree to the following waiver: In consideration of my [and/or my child(s)] participation in this activity, I hereby release and discharge the Organization, and its representatives, successors, and assigns, from any and all liability arising from accident, injury, and illness that I he/she) may suffer as a result of my (our) participation in this activity. I (we) also will follow the rules and regulations set by the Organization and above named parties.
I do hereby grant and give this organization the right to use my and or my child(s) photograph/video or image, both singly and in conjunction with other persons or objects and presentations, advertising, publicity, and promotion relating thereto.
Further, I agree to submit a one paragraph (or more) summary of my experience at Mason Community Arts Academy, no longer than one month after the end of the class or semester, as a result of receiving this financial assistance.
I understand that by applying for scholarship, I am aware of the Academy Scholarship Lifetime Maximum of $5,000 per family. Scholarship recipients are expected to attend all classes and/or lessons or funds may be rescinded.
Parent or guardian must sign for anyone age 18 and under.