Release and Waiver of Liability

Please take a few minutes and read this policy and submit acknowledgment at bottom.

This RELEASE AND WAIVER OF LIABILITY (this "Release") is executed by "I" or "me"(Parent/Guardian name entered in form below) on behalf of my child (Child’s name entered in form below) in favor of Wilton Children’s Theater, a not-for-profit corporation organized and existing under the laws of the State of Connecticut, and its directors and officers (collectively, the "Organization").

RELEASE AND WAIVER: I hereby fully and forever release and discharge the Organization from, and expressly waive, any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, that may arise from my or my child’s (or children’s) participation in performances produced by or associated with the Organization. I agree not to make or bring any such claim or demand against the Organization, its board members, officers OR employees, and fully and forever release and discharge the Organization and foregoing persons from liability under such claims or demands.

I UNDERSTAND THAT THIS RELEASE DISCHARGES THE ORGANIZATION FROM ANY LIABILITY OR CLAIM THAT I MAY HAVE AGAINST THE ORGANIZATION WITH RESPECT TO ANY BODILY INJURY, PERSONAL INJURY, ILLNESS, DEATH, PROPERTY DAMAGE, OR PROPERTY LOSS THAT MAY RESULT FROM THE PERFORMANCES, WHETHER CAUSED BY NEGLIGENCE OF ANY PERSON OR OTHERWISE.

MEDICAL TREATMENT: I hereby give consent and authority to the Organization to initiate and/or obtain medical treatment on my behalf if my child is injured or requires immediate medical attention during participation in activities relating to the Organization. In the event that my child has a severe allergic reaction, I consent to a member of the Organization’s volunteer staff administering epinephrine if my child is temporarily unable to carry and give him or herself medicine. I understand that the Organization does not store epinephrine on site. I understand and agree that I am solely responsible for all costs related to such medical treatment, medical transportation and/or evacuation. I hereby release, forever discharge, and hold harmless the Organization from any claim whatsoever in connection with such treatment by the Organization or other medical services, including in connection with administering epinephrine.

PHOTOGRAPHIC RELEASE: I understand and agree that during the production and performances of shows, I and/or my child may be photographed and/or videotaped for internal and/or promotional use by or on behalf of the Organization. I hereby grant and convey to the Organization all right, title, and interest, including but not limited to, any royalties, proceeds, or other benefits, in any and all such photographs or recordings, and consent to the Organization’s use of my and my child or children’s name, image, likeness, and voice in perpetuity, in any medium or format, for any publicity without further compensation or permission.

PERSONAL INFORMATION: I agree to the collection of my personal information by the Organization as provided in the attached forms. All personal information is treated as private and confidential by the Organization. My personal information may be used for the purpose of obtaining a background check and in connection with the maintenance of the Organization’s internal recordkeeping.