Permission to to record and photograph child participating in activities:
I hereby release Canton Township, Westland, Van Buren, Dearborn, Dearborn Heights, Redford, Northville, Romulus, Livonia and Wayne rights to the participant's image, likeness and sound of his/her
voice as recorded or photographed. I understand this recording or photograph may be edited and placed in publication, and thereafter the recording or photograph may be
otherwise available. I agree to release, discharge, and save harmless Canton Township, Westland, Van Buren, Dearborn, Dearborn Heights, Redford, Northville, Romulus, Livonia and Wayne, including it's representatives
or designees, from any legal proceedings which may arise in relation to the conditions of the above paragraph.
Yes, I give my permission.
No, I do not record or photograph my child.
+ Your Name:
Date: |
Waiver of liability, transportation and permission for medical consent: In consideration of Canon Township, Westland, Van Buren, Dearborn, dearborn Heights, Redford, Northville, Romulus, Livonia,
and Wayne permitting thr participant's toparticipate in and providing transportation to and from said events, I hereby for myself, my child, my heirs, adminstration and assigns, waive and release and and all rights and claims for damages I may have against
Canton Township, Westland, Van Buren, Dearborn, Dearborn Heights, Redford, Northville, Romulus, Livonia and Wayne, its personnel and any other organizations connected with this event, their successors, and assigns for any and all injuries
which my child may suffer while taking part in any activities connected with this event. In case of injury, and I am unable to be contacted by your staff,
I give my consent to have medical treament administered to my child if deemed necessary by a physician.
+ Your Name:
Date: |
