I give my permission for the photographing, audio recording, videotaping, and/or the publication of an existing photograph, audio recording or video of the above named child by Mosaic Youth Theatre of Detroit in its educational, promotional or fundraising materials. I understand that there will be no remuneration or other consideration for the above name child’s participation. I understand that the reproduction of the aforementioned, either in whole or in part, or alone or in conjunction with other photographs, sketches, art work, videotapes, audio recording and text matter, is to be used by Mosaic Youth Theatre of Detroit, its employees, agents, licensees and assignees now and at any time in the future for educational, informational, fundraising, and publicity purposes, and for radio and television broadcasting and distribution, advertising, trade promotion, or art purposes in publications and other advertising and promotional media, anywhere in the world, and I hereby consent to such use on behalf of the above named child. I hereby release Mosaic Youth Theatre of Detroit and its employees, agents, licensees and assignees from any and all claims arising out of such photographing, videotaping, recording, reproducing, broadcasting, publishing, or exhibiting or other use as is authorized by Mosaic Youth Theatre of Detroit or its affiliates.
I understand that health/accident insurance coverage is the responsibility of the parent/guardian. I hereby give permission to Mosaic Youth Theatre of Detroit staff and representatives to secure medical, routine medical, surgical treatment, and non-surgical care for the Young Artist names on this form. I authorize Mosaic Youth Theatre of Detroit staff and representatives to transport the Young Artist to the nearest hospital in case of injury, suspected injury, emergency, or suspected emergency in a private vehicle, rented vehicle, or ambulance, whichever is deemed necessary while the participant is in attendance of rehearsals or performances with Mosaic, if the parent/guardian cannot be reached.
I absolve Mosaic Youth Theatre of Detroit and all of its representatives of any and all liability, financial and/or otherwise arising from the administration of any medical care to my Young Artist under the terms of this release. Mosaic Youth Theatre of Detroit is not responsible for payment of any medical expenses incurred during participation in Mosaic Youth Theatre of Detroit’s training programs.