I understand that this form is valid for a period of one (1) year from the date of submission. I agree that it is my responsibility to notify House Theatre’s Executive Team of any changes to the information provided.
I authorize House Theatre, its agents, and contractors to obtain and release any medical information necessary to qualified medical personnel for the purpose of providing medical care to the Participant. I also understand that such information may be used, when appropriate, to support the safe participation and placement of the Participant within House Theatre activities.
I acknowledge that participation in House Theatre activities involves inherent risks, including the risk of serious illness or injury. I understand that such illness or injury may result in medical costs, expenses, or damages for which I am solely responsible.
I hereby release, waive, and hold harmless House Theatre, its officers, contractors, employees, and volunteers from any and all liability for personal injury, including death, and property damage or loss arising out of or related to the Participant’s involvement in House Theatre activities, to the fullest extent permitted by law.
I certify that I have read and understand this agreement and that the information I have provided is accurate and complete to the best of my knowledge.
I grant permission for House Theatre to use the Participant’s likeness, including photographs, video, voice, and/or statements, in promotional, marketing, and/or educational materials, including on websites and social media, without compensation.
By submitting this form, I acknowledge and agree to all terms stated above. I understand that my electronic submission constitutes my legal signature and confirms that the information provided is true and unaltered.