Participant Media Release and Liability Waiver

Cool Mountain Theatre is committed to providing a safe, welcoming environment for all participants. However, participation in theatrical productions inherently carries certain risks, including but not limited to physical injury from movement, use of equipment, sets, lighting, or other stage elements.

Please read the following waiver carefully, then complete and sign the form below.

Waiver and Release of Liability

By signing below, I acknowledge and agree that I:

  1. Assume all risks associated with participation, including but not limited to slips, falls, strains, or injuries related to movement, technical equipment, sets, costumes, or travel to and from rehearsal and performance venues.
  2. Release, waive, and discharge Cool Mountain Theatre, its directors, staff, volunteers, agents, contractors, and venue partners from any and all liability, claims, demands, causes of action, or expenses (including attorney’s fees) arising out of or related to any loss, damage, or injury that may be sustained while participating in any theatre-related activity.
  3. Agree to hold harmless and indemnify Cool Mountain Theatre for any claims brought against it due to my (or my child’s) participation.
  4. Confirm that I (or my child) am physically able to participate safely in the activities involved and will notify Cool Mountain Theatre of any limitations or medical conditions.
  5. Authorize emergency medical treatment if necessary and understand that I am responsible for all related medical costs.

Media Release

I may grant Cool Mountain Theatre the right to use photos, video, or other recordings of me (or my child) taken during rehearsals, performances, or other production-related events for promotional, educational, or archival purposes. You can choose Yes or No in the form below.


Sign Below

Complete all required fields. By submitting this form, you confirm you have read and understand this Waiver and Release, that you fully understand its terms, and that you sign it voluntarily.

Participant Full Name
Date of birth
Email
Phone
Parent/Guardian Name (if participant is under 18)
Parent/Guardian email (If Participant is under 18)
parent/Guardian Phone (if participant is under 18)
Production
Waiver and Release of Liability: By signing below, I acknowledge and agree that I:





Medical conditions, limitations, allergies, or medications (leave blank if none)
Media Release


Emergency Contact Name
Emergency Contact Phone
Relationship to Participant
Signer Confirmation. Please select the option that applies to you.


signature

Date signed
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