Sie sind auf Seite 1von 2

LiabilityWaiverforFilming

WanderingProductions,CottonwoodHighSchool,AcademyforMathEngineeringandScience,&
theGraniteSchoolDistrict

Inconsiderationforreceivingpermissiontoparticipateinthefilmingofthemovie,St.Charlie,Ihereby
RELEASE,WAIVE,DISCHARGE,andCOVENANTNOTTOSUEWanderingProductions,
CottonwoodHighSchool,AcademyforMathEngineeringandScience,&theGraniteSchoolDistrict,
anyoftheirofficers,employees,agents,volunteers,oremployees(hereinafterreferredtoasthe
RELEASEES)fromanyliability,claims,demands,actions,andcausesofactionrisingoutoforrelatedto
anyloss,propertydamage,damage,orinjury,includingdeath,thatmaybesustainedbyme,ortoany
propertybelongingtome,whileonthegroundswheretheactivityisbeingconducted,andwhile
participatingintheactivity,REGARDLESSOFWHETHERSUCHLOSSISCAUSEDBYTHE
NEGLIGENCEOFTHERELEASEES,orotherwise
1. Agreementtofollowdirections.
Iagreetoobserveandobeyallpostedrulesandwarnings,and
furtheragreetofollowverbalinstructionsgivenbyCottonwood/AMESorWandering
Productionsstaffandadministration.
2. AssumptionoftheRisksandRelease.
Irecognisethereareminimalrisksassociatedwithmy
participation,butintheeventofanyinjury,loss,ordamagearisingfromparticipation,Iassume
fullresponsibilityformyself,andfurtherreleaseanddischargeCottonwood/AMESand
WanderingProductionsfromallresponsibility.
3. Indemnification.
IagreetoindemnifyanddefendCottonwood/AMESandWandering
Productionsagainstallclaims,causesofaction,damages,costsorexpenses,includingattorney
feesandotherlitigationcosts,whichmayinanywayarisefrommyuseoforpresenceuponthe
facilitiesofCottonwood/AMESandWanderingProductions.
4. Fees.
IagreetopayforalldamagestothefacilitiesofCottonwood/AMESandWandering
Productionscausedbyanynegligent,recklessorwillfulactionsbyme.
5. ApplicableLaw.
Anylegalorequitableclaimthatmayarisefromparticipationshallberesolved
underUtahLaw.
6. ProvisionfortheMinor.
IfIamunder18yearsofage,itisgrantedandunderstoodthatmylegal
guardianisadditionallyresponsibleforalltermsandconditionslistedabove,andwillbeheld
responsibleforanywillfulactiononmypartandanyfeesincurredunderprovisionoftheabove
terms.Thiswillbeacknowledgedandagreedtobythesignatureofmylegalguardianinaddition
tomyownundertheConsentformbelow.
7. Consent.
Iconsenttoparticipatinginfilmingof
St.Charlie
andagreetothetermsandconditions
ofthisRelease.Ifundertheageof18,mylegalguardianrepresentsbysigningbelow,thats/he
haslegalauthorityandcustodyoverme.

EMERGENCYCONTACT.Incaseofanyemergency,pleasecontact____________________________,
(relationship:__________________)at(phonenumber)__________________

Ihavereadthisdocumentandunderstandit.Ifurtherunderstandthatbysigningthisrelease,I
surrendercertainlegalrights.

Participantsprintedname:___________________________
Participantssignature:______________________________
Date:___/___/______

Ifparticipantisunder18yearsofage,signadditionallybelow
LegalGuardiansprintedname:____________________________
LegalGuardianssignature:______________________________
Date:___/___/______

Das könnte Ihnen auch gefallen