AGES: 8 - 13
TIME: 10am - 12am
LOCATION: Old Armoury, 1A Park Ave, Georgetown
COST: $150
PARTICIPANT INFORMATION
EMERGENCY CONTACT(other than parents)
MEDICAL INFORMATION
GENERAL INFORMATION
The fee is payable online by credit card or PayPal Proof of age may be required upon request for first-time participants. No cancellations or refunds will be given in the event of a participant withdrawing on or after September 7, 2019. Globe reserves the right to remove at any time participants deemed to be behaving in a way that compromises the standards of the workshop or threatens the safety and well-being of themselves and/or others. If this should occur, refunds may not be given for the remainder of the session. In the event of a lateness or absence from a workshop, no fee adjustment will be made. It is the responsibility of the parent/guardians to provide accurate information for all sections on this form.
PHOTOGRAPHY RELEASE
I hereby irrevocably consent to and authorize Georgetown Globe Productions Inc. (Globe) to capture photographs/video and grant full ownership and permission in perpetuity the use of photographic portraits of the participant(s), or to use portraits or pictures in which the (participants names) participants may be included, in illustration, advertising and publicity material on behalf of Globe Productions. This consent and authorization includes permission for Globe to copy, license, exhibit, re-use and re-publish photographic portraits or pictures and to use any medium including but not limited to film, internet, CD-ROM, electronic and/or other future format(s). I understand that Globe is not obligated to use such materials and they will not be provided or returned to me.
I hereby release and forever discharge Georgetown Globe Productions Inc. (Globe) from all liability, whether direct or indirect, and hereby waive all claims, demands, actions and causes of action which I have or may have against Globe Productions with respect to, or arising from the use by Globe of portraits or pictures of myself and/or members of my family as identified above. I agree to and accept the possibility of flaws, distortions, and inaccuracies in the reproduction of the image(s) of myself and/or the members of my family for whatever reason.
I further acknowledge that, and consent to the use by Globe Productions of portraits or pictures of myself and/or the members of my family identified above shall be without restriction as to the making of changes or alterations by Globe.
WAIVER OF LIABILITY
I hereby waive, release and indemnify Georgetown Globe Productions Inc. (Globe) and their related organizations, and respective officers, directors, agents, employees and any volunteers without limitation from and against any actions, causes of action, suits, claims and demands whatsoever which I may have for or by reason of, or in any way arising out of any damages, losses or injuries that may result from my participation as a Globe performer, participant, volunteer. I hereby agree that I will not make any claim or demand or commence or threaten to commence any action or proceeding, or make any claim against the agents of Globe in connection with any damages, losses or injuries that may result from my participation in the activities or events organized in connection with Globe Productions Inc.
In cases where parental signature is given for a child, I guarantee I am the parent/legal guardian of the aforementioned child/children and I hereby indemnify Globe Productions from and against any such claims which may be made against Globe Productions by any third party. I have read, understand and accept these terms and conditions.
Participation is on first come first serve basis. We will contact you via email or phone number provided to confirm your child's participation.
If you have any questions, please email us at This email address is being protected from spambots. You need JavaScript enabled to view it.
Upon submitting you will be redirected to secure PayPal website where you can pay using PayPal, Credit or Debit.
