Release Form

RELEASE, INDEMNITY, AND HOLD HARMLESS AGREEMENT 2018-19
Student Details
Parent/Guardian Name

I, the student named on the attached Enrollment Agreement, being sui-juris and above the age of 18 years…

OR

I, the parent or legal guardian of the student named on the attached Enrollment Agreement, hereby grant permission on behalf of myself, child, or ward, to…

…enter the program known as Florida Children’s Theatre conducted by Fort Lauderdale Children’s Theatre, Inc., presently located at 2542B East Sunrise Boulevard, Fort Lauderdale, Broward County, Florida, or at any other locations wherein the Theatre is located, or any other location where the Theatre is conducting its performances, and to furthermore participate in all classes, production or any other related activities to be held during the enrollment period.

The undersigned, individual or on behalf of said ward, do, by this instrument release and discharge the Fort Lauderdale Children’s Theatre, Inc., of and from all actions and costs of action, judgments, execution, debts, dues, claims, and demands of every kind and nature whatsoever which against the Fort Lauderdale Children’s Theatre, Inc., I/we ever had or now have or which our heirs, executors and administrators have now or may hereafter have by reason of any injury sustained to me or to any child or ward while on the premises described above or at any other location wherein the Theatre may be performing, due to the negligence of the officers, agents, servants, or employees of the Fort Lauderdale Children’s Theatre, Inc., including any injury or property damage sustained in any vehicle or by any vehicle while being used in transporting us to and from any assigned location.

Furthermore, in further consideration of the Agreement, I, the undersigned on my own behalf of my minor ward agree never to institute any suit or action at law or otherwise against the Fort Lauderdale Children’s Theatre, Inc., or its employees, servants, agents, officers, and officials; nor institute, prosecute, or in any way aid in the institution or prosecution of any claim, demand, action, or cause of action for damages, costs, loss of services, expense, or compensation for or on another of any damage, loss, or injury, either to person or property, or both as agents or employees of the corporation.

Furthermore, I further agree on my own behalf and on behalf of my minor ward that in the event the individual named on the enrollment agreement suffers any illness or accident requiring emergency hospitalization or surgery while at Fort Lauderdale Children’s Theatre, or any other utilized location, I hereby give my permission for any necessary hospitalization, medication, or surgery on recommendation of a medical doctor with the understanding that the staff or other representative of Fort Lauderdale Children’s Theatre will contact me at the earliest reasonable time.

Additionally, the undersigned agree to indemnify and hold forever harmless Fort Lauderdale Children’s Theatre, Inc. against any claim for damages, compensation or otherwise that may hereafter at any time be made or brought against Fort Lauderdale Children’s Theatre, Inc. or by anyone on our behalf for the purpose of enforcing a further claim for damages on account of any injury sustained herein.

I realize that there will be unanticipated and unexpected situations which may arise during these activities and I assume for myself and/or my child or ward, all risk of injury to our person and/or property that may be sustained in connection with the associated activities on or about the premises or at any other authorized location: I further certify that me or my child or ward’s attendance and participation in the stated activities is wholly voluntary and that we shall not in any way be considered as an employee, servant, or agent of Fort Lauderdale Children’s Theatre, Inc., its operators or sponsors.