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2020-2021 Zooming in on the Arts-Virtual GFWC Event 10-24-2020

Please tell us about yourself

1. Contact information *This question is required.
Please list the name and ages of all people in your family/group that will be attending.
Space Cell NameAge
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6
This question requires a valid email address.
This question requires a valid number format.
4. Where did you hear about this event? *This question is required.
5. Release of liability, waiver of claims, assumption of risks, indemnity agreement, and media release
Please check the appropriate box below indicating you agree or do not agree with the statement. Please note- you/your child will NOT be able to participate in the program if you check "I do not agree" to items 1 or 2.
  *This question is required.
1) Release of liability- 
I agree to the following release of liability as a participant or parent/guardian of a participant in an in-person and/or online program with Arts4All Florida. In the case of any injury to registrant associated with an activity involving Arts4All Florida, the registrant shall indemnify and hold harmless, and hereby release, discharge, and acquit Arts4All Florida (and their respective directors, officers, members, employees, agents, teaching artists, and independent contractors) from and against any and all claims, damages and liabilities resulting from or associated with said injury or the treatment of said injury. By checking "I agree" and signing this in the area below release, I acknowledge I have read and fully understand this agreement and intend my signature to be an unconditional and complete release of all liability. I also acknowledge that my electronic signature has the same force and effect as an original signature. *This question is required.
2) Permission for virtual learning-
I agree to allow my myself and/or my child to use Edmodo and/or Zoom as a tool for virtual learning. 

I understand that live virtual learning is not pre-recorded and that anything stated or exposed during the virtual learning session can’t be edited before the student witnesses the content. I understand that my/my child's image may be transmitted during video portions of this program. I also understand that these sessions may be recorded by staff for student/parent review purposes at a later time. I understand that, if at any time I would like me/my child to be removed from the virtual class, I will email Jennifer Sabo at jsabo@usf.edu*This question is required.
3) Media release-
I hereby give consent to Arts4All Florida to use my/my child's first name, photo, voice, or other likeness that is included in virtual programming as well as artwork created in the program for future public awareness including print media, online news distribution, Arts4All Florida website, television and radio opportunities, video, promotional materials and other similar mediums (the "Production"). Such use of the Production is permitted throughout the world or exhibition purposes by Arts4All Florida in whatever manner it may desire, and may be copied, copyrighted, edited and distributed by Arts4All Florida in any medium in perpetuity without any compensation to me.  Furthermore, I consent that any such Production shall be the exclusive property of Arts4All Florida and Arts4All Florida shall have the right to use, sell, publish, print, display, distribute, duplicate, reproduce, reprint, create derivative works, and make other uses of such Production as Arts4All Florida may desire, free and clear of any claims whatsoever on my part. 
  *This question is required.
6. By signing this release, I acknowledge I have read and fully understand the policies above and have selected "I agree" or "I do not agree" for each one. I acknowledge that my electronic signature has the same force and effect as an original signature. *This question is required.
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