• Image field 26
  •  

    Release of Liability & Media Waiver Form

    Thank you for participating in the Winter Wonderland 2026 event at Civic Center – Goodman Outdoor Plaza. As part of this celebration, guests may receive free services such as haircuts, meals, gifts, or other holiday support provided by community partners and volunteers. To ensure a safe, respectful, and positive experience for everyone, we ask that all participants complete this Media and Liability Waiver.

    Note: If you are a parent or legal guardian, by signing this form, you are providing consent for both yourself and your child(ren) to participate in this event.

    Consent Agreement

     

  • I, _______________, hereby grant CARE Complex and its partners permission to capture and use photographs, video footage, and/or audio recordings of myself and/or my child(ren) while attending Winter Wonderland or participating in related activities on Civic Center – Goodman Outdoor Plaza property.

    This media may be used for:

    • Social media and website content
    • Printed promotional or educational materials
    • Reports to donors or grant funders
    • Public presentations or educational campaigns

    I understand this content may be edited or combined with other materials and waive any right to compensation or additional approval. I consent to this use now and in the future.

    Participation and Liability Acknowledgment

    I, on behalf of myself and my child(ren), agree to release CARE Complex, its partners, their staff, students, volunteers, and affiliates from any and all liability for any injury, reaction, or dissatisfaction that may result from services provided.

    I acknowledge that I, on behalf of myself and my child(ren), am voluntarily receiving or performing these services and assume full responsibility for any risks involved.

    I understand that I may choose not to receive or perform services at any time.

    Voluntary Participation

    I understand that participation in the Winter Wonderland Event is voluntary. The event will be held on Saturday, December 19, 2026, from 5 PM to 7 PM at the Civic Center – Goodman Outdoor Plaza, located at 525 S Main St, Las Vegas, NV 89101.

    Medical Authorization

    In the event of a medical emergency involving me or my child(ren), I authorize Care Complex to seek appropriate medical care. I agree to assume full responsibility for any resulting expenses.

    Confidentiality & Data Collection

    I agree to respect the privacy and dignity of all event participants. I understand that my contact information may be added to Care Complex’s secure CRM for communication and program-related purposes.

    General Agreement

    I agree to follow all safety rules, behave respectfully toward staff, volunteers, and other participants, and support the values of Care Complex.


    This waiver is valid for 12 months from the date of signing unless revoked in writing.


    Acknowledgment
    By signing below, I confirm that I have read and understood this agreement and that I voluntarily consent on behalf of myself and my child(ren) to all terms stated above.

  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • Are you employed?*
  • Date of Birth (Kid 1)
     / /
    2 digit month, 2 digit day, 4 digit year
  • Date of Birth (Kid 2)
     / /
    2 digit month, 2 digit day, 4 digit year
  • Date of Birth (Kid 3)
     / /
    2 digit month, 2 digit day, 4 digit year
  • Date of Birth (Kid 4)
     / /
    2 digit month, 2 digit day, 4 digit year
  • Date of Birth (Kid 5)
     / /
    2 digit month, 2 digit day, 4 digit year
  • Date of Birth (Kid 6)
     / /
    2 digit month, 2 digit day, 4 digit year
  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  •  
  • Should be Empty: