PLEASE PRINT THIS FOR EACH CHILD YOU ARE REGISTERING, COMPLETE IT AND BRING IT TO THE FIRST CLASS OR TO THE SPACE OFFICE. Back to Class Schedule | Home Page SPACE--Near & Arnold's School of Performing Arts and Cultural Education RELEASE FROM LIABILITY AND INDEMNIFICATION I, the parents or guardian of the minor named below, agree to allow my child to participate in the SPACE class and programs for which he/she has registered. In consideration for and as a condition of participation, I agree to indemnify and hold harmless SPACE and its employees, officers and agents from and against any and all liability, save and except for the sole negligence of SPACE and its employees, from actions resulting in injury associated with my child's participation in the activities directly related to the classes, performances and/or rehearsals. I understand and am familiar with the nature of the activities in which my child will be participating. My child is in good physical health and does not have any physical health conditions or emotional conditions, of which I am aware, which in any way may adversely affect his/her ability to participate in these activities. I further agree to allow the use of my child's photograph, video images of my child, and/or audio recordings which he/she can be heard, for publicity purposes related to SPACE and its programs and activities. I agree that all such images and recordings are the sole property of SPACE. Student's Name: _______________________________________________ Parent/Guardian Signature: _____________________________________ Date: ________________________