Email * Phone * I am a... * Volunteer Area * Acknoweldgments and Releases Time Commitment * Thurs, March 11th from 7:30 PM - 8:15 PM: Attend the virtual Zoom meeting for event instructions. Sat, March 13th: Arrive at the event by 5 PM and stay til tear down at 10 PM. Transportation, Event, Photograph, and Video Release *
I have investigated the risks involved in the Honored Guest’s participation in A Night to Remember Prom and fully understand and assume such risks on his/her behalf. Specifically, I understand and acknowledge that the Honored Guest/Host may suffer or experience, among other things, personal injury or bodily damage, medical disabilities, and loss or theft of personal property As parent and/or legal guardian of the named Honored Guest/Host, I request that EastLake Church, The Arc of San Diego & ANTR Prom allow the Honored Guest/Host to participate in the activities associated with A Night to Remember, and in consideration thereof agree hereby to release and forever discharge EastLake Church, The Arc of San Diego & ANTR Prom, its employees, agents and any parties volunteering, from all actions, cause of action, injuries, claims, damages, costs or expenses of any kind, including any negligence of the church, growing out of or related to the activities (including transportation to and from the activities) in which the Honored Guest/Host participates. I understand that this a full and complete release of all injuries and damages which the Honored Guest/Host may sustain as a result of his/her participation in the activities, regardless of the specific cause thereof.
Photograph & Video Consent and Release *
In consideration of participating in the above-referenced Activities, I give EastLake Church, The Arc of San Diego & ANTR Prom permission to use the Honored Guest/Hosts name, likeness, image, voice, and/or appearance in pictures, photos, video recordings, audiotapes, digital images, and the like (collectively “material”), whenever taken or made for use in multi-media or printed presentations and used for display during services, events, or on A Night To Remember's website, or incorporated in non-commercial or commercial products and services or A Night To Remember related products or services. I agree that A Night to Remember has complete ownership of such material including the entire copyright. These uses also include, but are not limited to DVDs, exhibitions, videos, reprints, publications, advertisements, and other promotional, commercial, or educational materials in any medium including the Internet. I acknowledge that I or the Honored Guest/Host will not receive any compensation for the use of such material and hereby release A Night to Remember, and its agents and assigns, from any and all claims that arise out of or are in any way connected with such use, including, without limitations, from any liability for violation of rights of privacy, publicity, defamation or any similar right.
Permission for Medical Treatment and Power of Attorney *
In the event the Honored Guest/Host suffers an injury or condition during his/her participation in the Activities, including transportation to and from the Activities, which may endanger his/her life, cause disfigurement, physical impairment or undue discomfort if medical treatment is delayed, and reasonable attempts to contact me or the designated alternate contact person have been unsuccessful, to the extent allowed by local law, I hereby appoint the attending EastLake Church, The Arc of San Diego & ANTR Prom staff member or agent, as the Honored Guest’s/Hosts agent to act for them and in my name (in any way I could act in person) to make any and all decisions for the Honored Guest/Host concerning his/her personal care, medical treatment, hospitalization and health care. This power of attorney and delegation of authority shall terminate when the agent is able to contact me or the designated alternate contact person.
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