Philly Kroc EggStravaganza 
We are excited you can join us!
When: Saturday March 14th 2026
Time: 11am - While Eggs Last!! 
Where: The Salvation Army Philadelphia Kroc Center; 4200 Wissahickon Ave.
Ages: 0-13yr.
Email *
Parent/Guardian First Name  *
Parent/Guardian Last Name  *
How many children will be attending? *
Parent/Guardian Email Address  *
Are you a member of the Kroc Center? *
How did you hear about us? *
   WAIVER AND RELEASE

I acknowledge, for me and/or the minor member/guest named above, that my/their attendance at and/or use of The Salvation Army Kroc Center’s facility, including without limitation my/their participation in any of The Salvation Army Kroc Center’s programs or activities and my/ their use of The Salvation Army Kroc Center’s equipment and facilities, and any transportation which may be provided by The Salvation Army Kroc Center, could cause injury, which may result from or arise out of my/their attendance at or use of The Salvation Army Kroc Center’s facility or its equipment, activities, or transportation. I agree, on behalf of myself and my/their heirs, executors, administrators, and assigns, to fully and forever waive, indemnify, hold harmless, release, and discharge The Salvation Army Kroc Center, its affiliates and all of its respective officers, trustees, employees, agents, successors, and assigns, and each of them (collectively, the “Releasees”), from any and all claims, damages, demands, rights of action or causes of action, present or future, known or unknown, anticipated or unanticipated, resulting from or arising out of my/their attendance at or use of The Salvation Army Kroc Center’s facility, or its equipment, activities, or transportation.

 

Further, I hereby agree to and waive any and all such claims, damages, demands, rights, or action or causes of action. In addition, I hereby agree to release and forever discharge the Releases from any and all liability for any loss or theft, or damage to personal property. I acknowledge that this is a waiver and release of any and all liability for me and/or the minor member/guest named on this registration.

*
My typed name indicates that I have carefully read this waiver and release and I fully understand that it is a waiver and release of any and all liability.
*

PHOTO CONSENT FOR ADULTS

I hereby irrevocably grant to The Salvation Army, its  successors and assigns, its agents and those by whom  it is commissioned, the absolute, unrestricted and unlimited license, right, permission, and consent to use and reuse, disseminate, copyright, print, reproduce, publish and republish, for any and all trade  purposes or commercial or other advertising or public  purposes, and in any and all advertising, publicity,  display, publication or media, internet sites including  social media sites, and any other multimedia or  electronic medium existing now or in the future,  my name, signature and likeness, and any portraits,  pictures, photographic prints or other representations of me, or in which I may appear, or any reproductions or  sketches thereof, or parts thereof, photographic or otherwise,        with such additions, deletions, alterations or changes  therein as you in your discretion may make, either separately or together with my name or a fictitious  name  or the name of another person, with or  without any statements or testimonials made by me, or authorized by me which you may, in your discretion, prepare for use in  connection therewith. I warrant to The Salvation Army  that I have not limited or restricted the use of my name or photograph to the use of any organization or person.

I hereby grant unrestricted use of audio tracks, videos, or text, including in an electronic medium existing now or in the future, by The Salvation Army for such purposes as The Salvation Army may deem appropriate.

I hereby release and discharge The Salvation Army, its  successors, assigns and agents from any and all claims and demands arising out of or in connection with the  use of any of the foregoing, including any claims for  defamation, invasion of privacy or violation of any  statutory right.

There is no time limit on the validity of this waiver nor is there any geographic limitation on where these  materials may be distributed. This waiver applies to all  Salvation Army locations and events.

 I, hereby certify that I have read the Photo Consent for Adults and consent.

*

My typed name indicates that I have carefully read the photo consent for adults and I fully understand and agree to the terms.

*

PHOTO CONSENT FOR MINORS (IF APPLICABLE)

In Regards to Minor listed above:

I certify that I am the parent/legal guardian of (Minor listed above).

 I hereby irrevocably grant to The Salvation Army, its successors and assigns, its agents and those by whom it is commissioned, the absolute, unrestricted and unlimited license, right, permission, and consent to use and reuse, disseminate, copyright, print, reproduce, publish and republish, for any and all trade purposes or commercial or other advertising or public purposes, and in any and all advertising, publicity, display, publication or media, internet sites including social media sites, and any other multimedia or electronic medium existing now or in the future, Minor’s name, signature and likeness, and any portraits, pictures, photographic prints or other representations of Minor, or in which Minor may appear, or any reproductions or sketches thereof or parts thereof, photographic or otherwise, with such additions, deletions, alterations or changes therein as you in your discretion may make, either separately or together with Minor’s name or a fictitious name or the name of another person, with or without any statements or testimonials made by Minor, or authorized by Minor which you may, in your discretion, prepare for use in connection therewith. I warrant to The Salvation Army that I have not limited or restricted the use of Minor’s name or photograph to the use of any organization or person.

I hereby grant unrestricted use of audio tracks, videos, or text, including in an electronic medium existing now or in the future, by The Salvation Army for such purposes as The Salvation Army may deem appropriate.

I hereby release and discharge The Salvation Army, its successors, assigns and agents from any and all claims and demands arising out of or in connection with the use of any of the foregoing, including any claims for defamation, invasion of privacy or violation of any statutory right.

There is no time limit on the validity of this waiver nor is there any geographic limitation on where these materials may be distributed. This waiver applies to all Salvation Army locations and events.

______ I, hereby certify that I am the (parent)/(legal guardian) of the minor child or dependent named above and have executed this release on (his)/(her) behalf.

*

My typed name on behalf of my minor indicates that I have carefully read the photo consent for minors and I fully understand and agree to the terms.

*
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