Waiver 1: Arrival/Dismissal Waiver for Minors (to be signed by parent or legal guardian). By signing this form, I THE PARENT OR LEGAL GUARDIAN OF ENROLLED MINOR ABOVE, approve the participation of my minor (teenager) and agree to make my own arrangements to drop-off and pick up my teenager in the entrance of Esperanza at 4261 N. 5th Street, Philadelphia, PA 19149. I agree to release Esperanza College of Eastern University and Nueva Esperanza, Inc. (NEI) its Board, its Board members, administrators, directors, officers, instructors, employees, agents, assigns, and volunteers ("released parties") from all liability that may arise by reason of my minor (teenager) participation.

Name:

Waiver 2: Emergency/Medical Waiver for Minors (to be signed by parent or legal guardian). By signing this form, I THE PARENT OR LEGAL GUARDIAN OF ENROLLED MINOR ABOVE, hereby give permission to Esperanza College of Eastern University and Nueva Esperanza, Inc. employees to secure proper medical care for my child as deemed necessary in the event I cannot be reached in an emergency. This permission extends from minor first-aid treatment to hospitalization if necessary.

Name:

Waiver 3: Media Release for Minor Participant (to be signed by parent or legal guardian). I hereby grant Esperanza College of Eastern University and Nueva Esperanza, Inc. and parties designated by Esperanza College of Eastern University, including clients, licensees, purchasers, agencies, and periodicals the irrevocable rights to use my minor child or teenager's photographs and video(s) for release and reproduction in any medium including but not limited to print, electronic (e.g. Internet) for purposes of advertising, trade, display, exhibition or editorial use. Furthermore I waive any and all rights to inspect or approve any finished or unfinished photographs, videotapes, or other means of production referred to herein, so long as the use is of lawful purpose. By signing below, I acknowledge that I will receive no compensation from Esperanza College of Eastern University or Nueva Esperanza Inc. for the publication or distribution or other use of the photographs or videos. I also acknowledge the Esperanza College of Eastern University and Nueva Esperanza Inc. are the sole and include exclusive owner for all rights, title, and interest in and to the copyright and any and all other intellectual property rights.

Name:

ADULT CONSENT (2) [WRITE N/A IF YOU ARE A MINOR]  

Waiver 2: Emergency/Medical Waiver for Adults.  I am at least 18 years of age and have read the statement and thoroughly understand the terms and conditions of this release. I hereby give my permission to Esperanza College of Eastern University and Nueva Esperanza, Inc. employees to secure proper medical care for myself as deemed necessary in the event I cannot be reached in an emergency. This permission extends from minor first-aid treatment to hospitalization if necessary.

Name:

Waiver 3: Media Release for Adult Participant. I am at least 18 years of age and have read the statement and thoroughly understand the terms and conditions of this release. I hereby grant Esperanza College of Eastern University and Nueva Esperanza, Inc. and parties designated by Esperanza College of Eastern University, including clients, licensees, purchasers, agencies, and periodicals the irrevocable rights to use my photographs and video(s) for release and reproduction in any medium including but not limited to print, electronic (e.g. Internet) for purposes of advertising, trade, display, exhibition or editorial use. Furthermore I waive any and all rights to inspect or approve any finished or unfinished photographs, videotapes, or other means of production referred to herein, so long as the use is of lawful purpose. By signing below, I acknowledge that I will receive no compensation from Esperanza College of Eastern University or Nueva Esperanza Inc. for the publication or distribution or other use of the photographs or videos. I also acknowledge the Esperanza College of Eastern University and Nueva Esperanza Inc. are the sole and include exclusive owner for all rights, title, and interest in and to the copyright and any and all other intellectual property rights.

Name: