NHD 2018 Student/Parent Waiver
Program Registration Waiver and Photo Release

By submitting this registration, I hereby waive, release and forever discharge the Chester County Historical Society (CCHS) and its officers, agents, employees, volunteers, representatives, directors and all others from any and all responsibility or liability for injuries or damages resulting from my participation in the National History Day program. By submitting this registration, I agree that CCHS may photograph or videotape my child and display, distribute, publish, transmit or otherwise use the images and/or video in materials that include, but may not be limited to, printed materials such as brochures and newsletters, videos, and digital images such as those on the ChesterCoHistorical.org website and other media outlets. I give unrestricted permission for these images to be used for a variety of purposes and these may be used without further notifying me.

The site policy for CCHS at this event requires that student historians are accompanied by either a parent/guardian or by a chaperone with clearances required by and maintained by that student's school.

I am the parent and guardian of The Students Name Listed Below and have the legal authority to approve the above release. I acknowledge that my student will be accompanied by an approved adult and I agree to the above by typing in my name as my signature below:

Email address *
Student Name: *
First Name Last Name
Your answer
Parent/Guardian Name: *
First Name Last Name
Your answer
Parent/Guardian Mobile Number During Contest: *
Include area code xxx-xxx-xxxx
Your answer
Student's School or Homeschool: *
Your answer
What is your Teacher's Email Address? Enter Parent Address if Homeschooler. *
Your answer
A copy of your responses will be emailed to the address you provided.
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