Informed Consent and Acknowledgement
In the event that the minor listed above has an illness or accident requiring emergency medical care, hospitalization, medication or surgery while participating in any of the programs of Wekiva River Players, Inc., I hereby give my authorization to staff members or approved volunteers of Wekiva River Players, Inc. to act or to approve or to consent to emergency medical or surgical treatment and/or hospital care of the above minor to be rendered under the general or special supervision of any licensed physician or surgeon. It is understood that this authorization is given in advance of any specific diagnosis or emergency treatment being rendered.
In addition, I agree to release and discharge Wekiva River Players, Inc., its Officers, Directors and Agents thereof, from any claims, demands or liability of damage arising from my child’s participation in programs sponsored by Wekiva River Players, Inc. I hereby assign and grant to Wekiva River Players, Inc., or those authorized to act on their behalf, the right and permission to copyright and/or publish photographs or video likeness of me (or my minor student(s)) as set forth in this agreement. Wekiva River Players, Inc. may use in whole, or as part of a composite, the reproduction thereof for promotion in any manner, including on the Wekiva River Players, Inc. website and social media accounts.