Registration Form, Summer 2025 - I LOVE BROADWAY!

Please complete one form for each child.

Consent/Release Form for Program Participants

My child may fully participate in Community Theater Junior, operated by Trinity Presbyterian Church, a non profit corporation. (hereinafter referred to as “Community Theater Junior”). In the event of an emergency, I give permission for the Community Theater, Junior staff to seek medical treatment for my child.

Release of All Claims

I agree to assume the full risk of any injuries, damages, or losses that I and/or participant may sustain as a result of participation in any Community Theater Junior activity, program or event. I hereby release Community Theater, Junior Trinity Presbyterian Church, and all of their agents, employees, officers, and directors, from any and all risks, actions, causes of action, claims, demands, liabilities and obligations of any and every nature whatsoever, including, without limitation, for illness, personal injury, death, property damage, and personal or proprietary rights, and hereby hold Community Theater Junior and Trinity Presbyterian Church harmless and agree to fully indemnify Community Theater Junior, Trinity Presbyterian Church and their directors from and against any and all claims. I also understand that Community Theater Junior does not carry medical liability insurance, and I hereby personally assume full responsibility for any and all claims and for any and all hospital and medical bills for myself and/or participant. I hereby certify to Community Theater Junior that I have obtained and will maintain in full force and effect adequate primary medical insurance for myself and/or participant. In the event it is necessary for me or the participant to return home due to disciplinary action, for medical reasons, or otherwise, I hereby personally assume full responsibility for all such transportation arrangements and costs.

Consent to Use and Publication of Image

I hereby give Community Theater Junior the absolute, unconditional, and irrevocable right and permission to use my name and participant’s name and to use, reproduce, edit, exhibit, project, display, copyright, and publish photographic images and/or moving pictures and/or videotape images of me and/or participate, with or without voice, in which I and/or participant are included, in whole or in party, photographed, taped, videotaped, and/or recorded prior to, during and/or after the theatrical event and to circulate same in any and all forms and media for art and advertising. I hereby consent to the use of all printed matter in conjunction therewith and waive all rights to inspect and/or approved drafts, finished products, and/or editorial, promotional, and printed copy and sound tracks that may be used in connections therewith, and waive all rights to control any aspect of any production, alteration, use, distribution or disposition of said products, copy and/or soundtracks. I hereby discharge and agree to hold Community Theater Junior and Trinity Presbyterian Church harmless and fully indemnify Community Theater, Junior and Trinity Presbyterian Church from and against any and all claims arising by virtue of any blurring, distortion, alteration, optical illusion, or use in composite form, whether intentional or otherwise, that may occur or be produced in the production, procession, duplication, projecting, or displaying of said images of me and/or participant, and from any and all claims for violation of any personal and all proprietary rights that me or the participant may have or may claim to have in connection with such images and with the production, alteration, use, distribution, and disposition thereof.