GaryTest | Super Summer Theatre

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2023 Liability and Promotional Waiver Photographs and videos will be taken while on location at the SUPER SUMMER THEATRE Studios. These photographs and videos may be used in displays, videos, press releases, or in other promotional ways including on the SUPER SUMMER THEATRE Website. The photos may also appear with or without names in press releases and advertising. I authorize State Parks Cultural Arts Board dba SUPER SUMMER THEATRE to use photograph/videos of my child/me for the purpose of promoting the Studios. Print Name: _________________________ Signature: _______________________ Date: ___________ Signature of Parent/Guardian: _________________________________________ Date: ___________ I, _____________________________, hereby release State Cultural Arts Board (DBA) SUPER SUMMER THEATRE, its officers, agents, and other people officially connected with the SUPER SUMMER THEATRE Studios from any and all liability for damages or medical expense from injuries in the course of my participation. I have been made aware of the risks and hazards inherent in participating and do hereby assume sole responsibility for all such risks and waive all recourse against State Cultural Arts Board dba SUPER SUMMER THEATRE its officers, agents, and any other people officially connected with the studio activities. I hereby state that I am in sufficient physical condition to accept the level of physical activity required to participate. I understand that participation is strictly voluntary and I freely chose to participate. Print Name: _________________________ Signature: _______________________ Date: ___________ Signature of Parent/Guardian: _________________________________________ Date: ___________ SUPER SUMMER THEATRE | 4340 S. Valley View Blvd. Suite #208 Las Vegas, NV 89103 www.supersummertheatre.org (702) 579-7529