Health and Liability Release Form
All students and their guardians must fill out this form, in order to participate in theatre arts camp.
Email address *
Student's Last Name, Students First Name *
Your answer
Guardians Last Name, Guardian's First Name *
Your answer
Does your student have any dietary restrictions? We will provide mostly fruit and water as snacks.
Your answer
Does your student have any physical or emotional accommodations that we need to be aware of.
Your answer
Does your student have any medications that need to be taken during the mornings/lunch?
Your answer
Medical insurance information. Policy #. Group #. Feel free also to photograph and send to Mr. Stephens' email. mstephens@princetonisd.net
Your answer
I waive all claims against any of the Released Parties for any injuries, damages, losses or claims,whether known and unknown, which arise during or result from my or my student's participation in the activity, regardless of whether or not caused in whole or part by the negligence or other fault of any of the released parties. I release and forever discharge the released parties from all such claims. Please type your full name below to release Princeton ISD and its camp workers from liabilities.
Your answer
I agree to indemnify and hold the Released Parties harmless from all losses, liabilities, damages,costs or expenses (including but not limited to reasonable attorneys' fees and other litigation costs and expenses) incurred by any of the Released Parties as a result of any claims or suits that I (or anyone claiming by, under or through me) may bring against any of the Released Parties to recover any losses,liabilities, costs, damages, or expenses which arise during or result from my participation in the Activity,regardless of whether or not caused in whole or part by the negligence or other fault of any of the Released Parties. Please type your full name below to release Princeton ISD and its camp workers from liabilities.
Your answer
I have carefully read and reviewed this Waiver, Release And Hold Harmless Agreement. I understand it fully and I execute it voluntarily. Please type your full name below to release Princeton ISD and its camp workers from liabilities.
Your answer
A copy of your responses will be emailed to the address you provided.
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