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Youth Art Classes

650 Laguna Canyon Road
Laguna Beach, CA 92651

 

Release from Liability & Idemnification

I agree to waive and release the Festival of Arts (Festival) and its officers, agents and employees from and against all claims, expenses or judgments, including attorney’s fees and all court costs arising from my child’s (children’s) participation in the Festival’s Youth Arts Education Days Program or any illness or injury resulting there from and against all claims, whether caused by negligence or otherwise, except for illness and injury resulting from willful misconduct on the part of the Festival and its officers, employees and agents.

I understand and agree that by signing this waiver I am freeing the Festival and its officers, employees and agents from any liability resulting from my child’s (children’s) participation in this Festival sponsored activity or event. I hereby represent that I understand and am familiar with the nature of the activities in which my child(ren) will participate. 

Consent for Photography

I hereby grant to the Festival of Arts and to its employees, agents and assigns the right to photograph or video my child(ren), and use the photo or video, or other digital reproduction of my child(ren), or other reproduction of my child's (children’s) physical likeness, for publication processes, whether electronic, print, digital or electronic publishing via the internet.

 

I understand that I must remain on the grounds of the Festival of Arts while my child is attending any classes or activities. 

I Agree

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Consent for Medical Treatment

As a parent, agency, representative or legal guardian, I hereby give consent to the Festival of Arts to provide all emergency dental or medical care prescribed by a duly licensed physician (MD) or dentist (DDS) for my child listed below. This care may be given under whatever conditions necessary to preserve life, limb or well being of my dependent. My child has (the following medical conditions and/or allergies:
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Consent for Medical Treatment

As a parent, agency, representative or legal guardian, I hereby give consent to the Festival of Arts to provide all emergency dental or medical care prescribed by a duly licensed physician (MD) or dentist (DDS) for my child listed below. This care may be given under whatever conditions necessary to preserve life, limb or well being of my dependent. My child has (the following medical conditions and/or allergies:
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Consent for Medical Treatment

As a parent, agency, representative or legal guardian, I hereby give consent to the Festival of Arts to provide all emergency dental or medical care prescribed by a duly licensed physician (MD) or dentist (DDS) for my child listed below. This care may be given under whatever conditions necessary to preserve life, limb or well being of my dependent. My child has (the following medical conditions and/or allergies:
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Consent for Medical Treatment

As a parent, agency, representative or legal guardian, I hereby give consent to the Festival of Arts to provide all emergency dental or medical care prescribed by a duly licensed physician (MD) or dentist (DDS) for my child listed below. This care may be given under whatever conditions necessary to preserve life, limb or well being of my dependent. My child has (the following medical conditions and/or allergies:
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Consent for Medical Treatment

As a parent, agency, representative or legal guardian, I hereby give consent to the Festival of Arts to provide all emergency dental or medical care prescribed by a duly licensed physician (MD) or dentist (DDS) for my child listed below. This care may be given under whatever conditions necessary to preserve life, limb or well being of my dependent. My child has (the following medical conditions and/or allergies:
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Consent for Medical Treatment

As a parent, agency, representative or legal guardian, I hereby give consent to the Festival of Arts to provide all emergency dental or medical care prescribed by a duly licensed physician (MD) or dentist (DDS) for my child listed below. This care may be given under whatever conditions necessary to preserve life, limb or well being of my dependent. My child has (the following medical conditions and/or allergies:
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Consent for Medical Treatment

As a parent, agency, representative or legal guardian, I hereby give consent to the Festival of Arts to provide all emergency dental or medical care prescribed by a duly licensed physician (MD) or dentist (DDS) for my child listed below. This care may be given under whatever conditions necessary to preserve life, limb or well being of my dependent. My child has (the following medical conditions and/or allergies:
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Consent for Medical Treatment

As a parent, agency, representative or legal guardian, I hereby give consent to the Festival of Arts to provide all emergency dental or medical care prescribed by a duly licensed physician (MD) or dentist (DDS) for my child listed below. This care may be given under whatever conditions necessary to preserve life, limb or well being of my dependent. My child has (the following medical conditions and/or allergies:
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Consent for Medical Treatment

As a parent, agency, representative or legal guardian, I hereby give consent to the Festival of Arts to provide all emergency dental or medical care prescribed by a duly licensed physician (MD) or dentist (DDS) for my child listed below. This care may be given under whatever conditions necessary to preserve life, limb or well being of my dependent. My child has (the following medical conditions and/or allergies:
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Consent for Medical Treatment

As a parent, agency, representative or legal guardian, I hereby give consent to the Festival of Arts to provide all emergency dental or medical care prescribed by a duly licensed physician (MD) or dentist (DDS) for my child listed below. This care may be given under whatever conditions necessary to preserve life, limb or well being of my dependent. My child has (the following medical conditions and/or allergies:
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above. I understand that I must remain on the grounds of the Festival of Arts while my child is attending any classes or activities.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Consent for Medical Treatment

As a parent, agency, representative or legal guardian, I hereby give consent to the Festival of Arts to provide all emergency dental or medical care prescribed by a duly licensed physician (MD) or dentist (DDS) for my child listed below. This care may be given under whatever conditions necessary to preserve life, limb or well being of my dependent. My child has (the following medical conditions and/or allergies:
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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