I hereby give permission for my child(ren) to participate in all of the Dumbo's Circus Scientific Adventure activities as presented by the Rebecca Everlene Trust Company. I understand that some of the events and activities that make up the Circus Science event require some level of physical activity, and will include an optional lunch that can be purchased for your child, which may or may not provide foods that your child is allergic to. I HEREBY ASSUME ALL OF THE RISKS OF HAVING MY CHILD PARTICIPATE IN ANY/ALL ACTIVITIES ASSOCIATED WITH THIS EVENT, including by way of example and not limitation, any risks that may arise from food allergies, breached diet restrictions, negligence or carelessness on the part of the participating children. I attest that my child(ren) is in good health and able to safely participate in all the Circus Science activities. I hereby forever waive any and all rights for claims I may have against the Rebecca Everlene Trust Company, and all of their officers, directors, subsidiaries, agents and employees of the aforementioned companies for any and all injuries, losses, claims, damages, demands, liabilities, actions or causes of action sustained by my child(ren) as a result of his/her participation in the Candy Land activities. I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors, and organizers of the activity in which your child may participate, and that it will govern their actions and responsibilities at said activity.
(A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for your child’s death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to your child including his/her travel to and from this activity, THE FOLLOWING ENTITIES OR PERSONS: The Rebecca Everlene Trust Company, and/or their directors, officers, employees, volunteers, representatives, and agents, and the activity holders, sponsors, and volunteers;
I acknowledge that the Rebecca Everlene Trust Company, and their directors, officers, volunteers, representatives, and agents are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a specific activity on their behalf.
I also consent and authorize the use and reproductions of my child(ren)’s name and photograph(s), photographic images, video or audio recordings made for any and all purposes associated with the Circus Science activities. Staff members of the Rebecca Everlene Trust Company are not allowed to administer any medications. As mentioned before, some activities include lunch or dinner: it is your responsibility to accurately notify us of any allergies your child(ren) has.
I hereby consent for my child to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this activity.
You will be redirected to PayPal to post your payment after clicking submit. This action will finalize your transaction. You will only be charged once.
We appreciate your support and look forward to seeing you at the event. Feel free to contact us with any questions: firstname.lastname@example.org