VARSITY BRANDS ALL AMERICAN HIGH SCHOOL FILM FESTIVAL RELEASE/WAIVER FORM | OCTOBER 23-27, 2014
SCHOOL NAME: _______________________________________
LIABILITY RELEASE.
For good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, I _________________________________, as parent
or legal guardian of ___________________________________________, a minor (hereinafter “Minor”, hereby grant the permission necessary to allow this minor to participate in the
above Event to be conducted by Varsity Spirit Corporation (”Varsity Spirit”) and All American High School Film Festival (“AAHSFF”). I, in my own behalf and on behalf of the Minor, further
agree to release and to hold harmless Varsity Spirit, Varsity Spirit’s Corporate Sponsors (hereinafter “Sponsors”) and AAHSFF, the Hosting site, (hotel, parade organizations and other entity
providing service whilst on this Event and on whose premises the Event will occur (hereinafter the “Location”) the affiliates of Varsity Spirit, AAHSFF and the Location, and the respective di-
rectors, officers, representatives, members, agents and employees of Varsity Spirit, Sponsors, and AAHSFF, the Location and their respective affiliates (hereinafter collectively “Releases”) from
any and all liability for negligence or any other claim judgement, loss, liability, cost and expenses (including, without limitations, attorney’s fees and costs) arising out of or connected with the
Event, including any claim arising out of or connected with any illness or injury (minimal, serious, catastrophic and/or death) that the Minor may incur or sustain during the Event, all activities
associated with the Event and while traveling to and from the site for the Event whether or not the Event actually occurs. I further expressly agree to indemnify and hold harmless Releases
and Releasees’ heirs, successors, assigns, executors and administrators against loss from any further claims, demands or actions that may subsequently be brought by Minor or by any other
persons on the account of damages of any character resulting to Minor in any way from the foregoing activities. I further agree to reimburse and to make good to Releasees any loss, or costs
Releasees may have to pay as a result of any such action, claim, or demand.
I, in my own behalf and on behalf of the Minor, hereby warrant that I have read this Liability Release in its entirety and fully understand its contents. I, in my own behalf and on behalf of the
Minor, am aware that this Liability Release releases Releasees from liability and contains an acknowledgement of my voluntary and knowing assumption of the risk of injury or illness. I, in my
own behalf and on behalf of the Minor, further acknowledge that nothing in this Liability Release constitutes a guarantee that the Event will occur. I, in my own behalf and on behalf of the
Minor, have signed this document voluntarily and of my own free will.
Signature of Parent of Legal Guardian
X
_________________________________________________________________________________ Date:____ /____ /_____
MEDICAL RELEASE.
I, in my own behalf and on behalf of the Minor, acknowledge and agree that such participation subjects Minor to possibility of physical illness or injury (minimal,
serious, catastrophic, and/or death) and that I, in my own behalf and on behalf of the Minor, acknowledge that the Minor is assuming the risk of such illness or injury by participating in the
Event. In the event of such illness or injury, I authorize Varsity Spirit and AAHSFF to obtain necessary medical treatment of the Minor and hereby, in my own behalf and on behalf of the Minor,
release and hold harmless Releasees in the exercises of this authority. I further acknowledge and understand that I will be responsible for any and all medical and related bills that may be
incurred on behalf of the Minor for any illness or injury that the Minor may sustain during the Event and while traveling to and from the site for the Event whether of nor the Event actually occurs.
APPEARANCE AGREEMENT.
I understand that Varsity Spirit and AAHSFF from time to time produce promotional material relating to their programs. I understand that as a participant
and/or a spectator at the Event that Minor may be included in videotapes, photographs, DVD’s, Podcasts, and videocasts taken during the Event. Therefore, without reservation or limitations,
I, in my own behalf and on behalf of the Minor, hereby assign, transfer and grant to Varsity Spirit and AAHSFF, their successors, assignees, licensees, sponsors, and television networks, and
all other commercial exhibitors the exclusive right to photograph and/or videotape the Minor and to utilize such videotapes and photographs and Minor’s name, face, likeness, voice and
appearance as a part of the Event, in advertising and promoting the Event or in advertising and promoting similar future events. I further understand that neither Varsity Spirit and AAHSFF nor
any third party is under any obligation to exercise any of the foregoing rights, licenses and privileges.
EVENT RULES.
I further acknowledge and understand that Varsity Spirit and AAHSFF have established rules and regulations pertaining to conduct behavior and activities of all Event
participants, by which Minor and I agree to abide during the Event. Minor and I have signed a copy of these rules and regulations and will be responsible for his/her/my failure to abide by
those rules and regulations. Minor and I have received, read and understand the Event rules. Minor and I understand that violation of the rules can result in dismissal from Event with no refund.
INSURANCE
Insurance Company: ___________________________________________________________________________________________________________________
Insurance Company Address: ____________________________________________________________________________________________________________
Medical Insurance Policy Number: ________________________________________________________________________________________________________
I represent that any medication to which Minor is allergic or medications that Minor is currently taking are listed below. I agree that Minor shall bring medications which Minor is currently
taking with him/her to the Event and that he/she shall consume the prescribed dosage for such medications.
Medications (if any): __________________________________________________________________________________________________________________________
Allergic to (if any): ____________________________________________________________________________________________________________________________
I acknowledge that the Minor suffers from the following conditions: ____________________________________________________________________________________
____________________________________________________________________________________________________________________________________________
Family Doctor: ______________________________________________________ Phone Number: (_______)_________________________________________________
EMERGENCY INFORMATION
Name: ___________________________________________________________________________________
Address: __________________________________________________________________________________
City, State, Zip: ____________________________________________________________________________
Daytime phone: (____)____________ Evening phone: (____)____________ Cell phone: (____)____________
I, in my own behalf and on behalf of the Minor, herby warrant that I have read this Release/Waiver Form in its entirety and fully understand its concerns. I, in my own behalf and on behalf
of the Minor, am aware that this Release/Waiver Form releases Releasees from liability and contains an acknowledgement of my voluntary and knowing assumption of the risk of injury or
illness. I, in my own behalf and on behalf of the Minor, further acknowledge that nothing in this Release/Waiver Form constitutes a guarantee that the Event will occur. I, in my own behalf
and on behalf of the Minor, have signed this document voluntarily and of my own free will.
Signature of Parent of Legal Guardian
X
________________________________________________________
Relationship to Minor: _______________________________________________________________________
Minor SS# __________-__________-__________ Minor Birthdate: ____/____/____
I, identified above as Minor, acknowledge that I have read this Release and Waiver Form.
Signature of Minor
X
___________________________________________________ Date:____/____/_____
Signature of Witness
X
__________________________________________________ Date:____/____/____
Witness Address: ___________________________________________________________________________
