Pre-Production Forms
Individual Release Form
*Each person involved must fill out a Release Form.*
Parent/Legal Guardian:
Mobile Phone/Home Phone:
Emergency Contact (if not parent):
Medical Conditions:
Known Food Allergies:
RELEASE OF LIABILITY:
I indemnify, defend and hold harmless the KNIGHT HIGGS SHOES, and ALL RELATED COMPANIES from all claims made and liabilities assessed against them as a result of the registrant’s activities. Further, in case of emergency, I understand that every effort will be made to contact parents or guardians. However, if parents or guardians cannot be reached, or if I, the signed registrant am 18 years of age or older, I hereby give the KNIGHT HIGGS SHOES and/or ALL RELATED COMPANIES permission to act on my behalf in seeking medical treatment in the event that such treatment is deemed necessary or advisa- ble for the registrant’s health, safety and welfare. I give permission to those administering medical treatment to do so, using the measures deemed necessary. I release the KNIGHT HIGGS SHOES and ALL RELATED COMPANIES from liability in acting on my behalf in this regard and rendering such medical treatment. I assume the risk and financial responsibility for any injury re- sulting from the registrant’s activities.
Printed Name of Parent/Legal Guardian/Participant:
Signature of Parent/Legal Guardian/Participant: Date
(if under 18, parent or legal guardian must sign)
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