Center Stage Activity Waiver for Girl Scouts Go Behind The Scenes with The Nutcracker Ballet!
We are thrilled to have you joining us at Center Stage for this exciting Girl Scout event! Before the fun begins, please take a moment to read and fill out the following important information and submit the digitally signed form. The form MUST be completed and received before participation for ALL ATTENDEES- PARENTS & GIRL SCOUTS alike! Thank you!
Release of Liability
As the legal parent or guardian, I release and hold harmless Center Stage Academy L.L.C., its owners and operators from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises or any premises under the control and supervision of Center Stage Academy L.L.C., its owners and operators or in route to or from any of said premises. I further hereby voluntarily agree to waive my rights and that of my heirs and assigns to hold Center Stage Academy L.L.C., its owners, agents, volunteers, assistants, employees, guest artists, faculty members, and/or students liable for such damage, loss, injury, or death.
Occasionally, photographs and video of students may be used for publicity material in local newspapers, advertising, or online. If you DO NOT want your child’s photo to be used please contact the front desk in person or at 660.747.6133.
I have read, understood and agree to be bound by the above statement (please fill in your name, contact information, sign & date):
Parent Last Name:
Parent First Name:
Participant's Full Name (if a parent is attending, they need to fill out a waiver as well!):
Contact Phone Number: (in case of emergency):
Parent Digital Signature: (type full name):
Thank you! We look forward to seeing you at Center Stage soon!
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service