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Bryte Youth Summer Kick Off Release Form
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Release of Liability: *
I hereby attest that I do not suffer from any heart, lung, or other medical condition or disease that might in any way hinder or prevent me from participating in Summer Fest activities (including but not limited to inflatable competitive sports, tug-o-war, water dunk tank, bubble soccer, fear factor) and in any event, I agree that I participate at my own risk.In consideration of my participation in Summer Fest activities, I hereby release, discharge, promise not to sue, and hold harmless Russian Baptist Church, its staff or volunteers and assigns from any and all liability that may arise, directly or indirectly, now or in the future, by reason of any injury, damage, loss, or expense incurred in connection with my participation in Summer Fest activities, including that caused solely or in part by the fault (including but not limited to negligence, gross negligence, and/or recklessness) of the above-named parties. This Release and Waiver of Liability shall be binding from now and at any time in the future.Publicity Release Form: In connection with my participation in the production of any print, audio or filmed program material produced by Bryte Youth Media, I hereby grant, assign and convey to Russian Baptist Church all rights, titles and interest I may have in and to the specified program material in and to any reproduction made there from. I also irrevocably authorize Russian Baptist Church free of charge and without limitation to broadcast, distribute and/or exhibit the specified program material and any reproduction made there from or any portions thereof. This also specifically includes permission for me to appear in photographs or videotape of the events. Bring a copy of a photo ID.
Required
Full Name *
Bubble Soccer Liability Form: *
I hereby attest that I do not suffer from any heart, lung, or other medical condition or disease that might in any way hinder or prevent me from participating in a Bubble Soccer event, and in any event, I agree that I participate at my own risk. In consideration of my participation in Bubble Soccer, I hereby release, discharge, promise not to sue, and hold harmless River City High School, its district, staff, administrators, or students and assigns from any and all liability that may arise, directly or indirectly, now or in the future, by reason of any injury, damage, loss, or expense incurred in connection with my participation in Bubble Soccer, including that caused solely or in part by the fault (including but not limited to negligence, gross negligence, and/or recklessness) of the above-named parties. This Release and Waiver of Liability shall be binding from now and at any time in the future. Publicity Release Form: In connection with my participation in the production of any print, audio or filmed program material produced by RCTV media, I hereby grant, assign and convey to River City High School all rights, titles and interest I may have in and to the specified program material in and to any reproduction made there from. I also irrevocably authorize River City High School free of charge and without limitation to broadcast, distribute and/or exhibit the specified program material and any reproduction made there from or any portions thereof. This also specifically includes permission for me to appear in photographs or videotape of the events. Parent/Guardian Waiver for Minors (If participant is under 18) The undersigned parent and natural guardian or legal guardian does hereby represent that she/he is in fact acting in such capacity and agrees to defend, save, hold harmless and indemnify each and all parties referred to above from all liability, loss, cost, claim or damage whatsoever which may be imposed upon said parties because of any defect or lack of such capacity to so act and release said parties on behalf of both the minor and parent or legal guardian.
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Full Name / Parent Guardian *
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