Declaration by Participant, Parent, or Guardian
I, the undersigned, participant/parent/legal guardian declare that the information and medical details on this registration form are correct to the best of my knowledge and I hereby apply for a place in SOAR Regional Arts for myself or my child or ward. I understand that SOAR Regional Arts reserves the right to restrict admission at its own discretion.
Participation and Medical Emergencies for Minors
I grant permission for my child or ward to participate in all activities, except as indicated under "allergies and/or special needs", and I understand that SOAR Regional Arts provides no health insurance or medical coverage and that the signing of this form acknowledges my responsibility for payment of any medical treatment which may be required while my child or ward is participating in classes in the school or church facilities. I understand that the participant may not miss more than three rehearsals and must attend all performances unless approval is given by the production staff.
I further grant permission for SOAR Regional Arts or its representatives to procure any and all necessary medical help for my child or ward while they are under the supervision of SOAR Regional Arts and authorize SOAR Regional Arts or its representatives to permit any competent medical person to take all reasonable measures to treat any injury or sickness that my child or ward may suffer.
By signing this form I hereby state that I release all members of SOAR Regional Arts staff and any other party involved in the organization administration of SOAR Regional Arts from any liability as a result of any injury sustained in or around a performance venue.
I, hereby grant SOAR Regional Arts and its legal representatives the irrevocable right and unrestricted permission to use and publish photographs or video images of me or my child or ward, or in which I may be included, for any purpose authorized by SOAR Regional Arts, including but not limited to: website use, marketing materials and advertising use. This grant includes the right to modify and retouch the images in the discretion of SOAR Regional Arts. I understand that there will be no compensation to me for this use. Furthermore, I understand that I will not be given the opportunity to inspect or approve the finished products or the advertising copy or the ed matter that may be used in connection therewith. In granting this permission to SOAR Regional Arts and its legal representatives, I am fully and without limitation releasing it from any liability that may arise from the use of the images.
I understand that all information supplied on this form will be kept strictly confidential and that SOAR Regional Arts will never divulge any personal information to a third party without my consent.