Informed Consent and Acknowledgement
In consideration of my child’s participation in programs provided by the Pensacola MESS Hall, West Florida Public Library, GSK, AAAS and/or its program partners, I indemnify and hold Pensacola MESS Hall, West Florida Public Library, and affiliates, employees and agents harmless from and against any and all liability for negligence or medical expenses resulting from my child’s participation in such programs or other activities. I further release Pensacola MESS Hall, West Florida Public Library, and affiliates, employees and agents from any and all negligence or other claims resulting from my child’s participation. I further understand that Pensacola MESS Hall, West Florida Public Library, and affiliates do not provide medical insurance coverage for my child and that any medical expenses incurred will be paid by either my own medical insurance or myself. I hereby grant permission for my child to participate in all activities.
I give permission for my child’s photo and/or likeness to be retained and used by Pensacola MESS Hall, West Florida Public Library, and affiliates without any remuneration or compensation.