Paint & Sip Sign-Up Form

Paint & Sip Sign-Up Form

Enter your details, confirm you’re 21+, and submit payment of $28.
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
I certify that I am 21 years of age or older
I hereby grant the releasee permission to use photographs in any of the following:
Release of Photographs in
I hereby affirm that such release to the releasee does not constitute any form of compensation, including royalties arising from the photographs, to my benefit.

I understand and agree that photographs in the possession of the releasee shall become the property of the releasee. The use and publication of the photographs however, shall conform to my rights as a subject of said photographs.

I hereby waive my right to inspect of approve the photographs by which my likeness appears.

I hereby hold harmless, release, and forever discharge the HOCAS Group LLC from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

I declare true my age of consent, and in case I am under the age of such consenting age, I have obtained the required consent from my parents/guardians as evidenced by the signatures below:
Signature
Event Payment
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Paint and Sip Evening Admission
Admission for one to the Paint and Sip event.

$28.00

Total

$0.00

Debit or Credit Card