Release Form

 

Please print and bring to class or send in with your payment

Enchanted Music Together, Inc.
P.O. Box 63536
Philadelphia, PA 19147

 

Child’s Name:________________________________                                   Birthdate:_________________________

Child’s Name:________________________________                                   Birthdate:_________________________


CONSENT, RELEASE AND AUTHORIZATION

I am the parent or guardian of the above named child.  I consent to the participation of Music Together® classes operated by Enchanted Music Together, Inc., including but not limited to regular classes, demonstrations, trial classes, make-ups and any sing a longs. I understand that such programs have many different kinds of movements by their nature, and I assume all risk of injury arising from such activity, and accordingly I release, indemnify and agree to hold harmless Enchanted Music Together, Inc., Music Together LLC, and the owner and operator in which the applicable program is located, and their respective directors, officers, employees, sponsors, and staff from any claim, suit, demand, or action arising in connection with my child’s participation in programs operated by Enchanted Music Together, Inc. I further assume all responsibility for all transportation to and from such programs. 
I HAVE CAREFULLY READ THE ABOVE CONSENT, RELEASE AND AUTHORIZATION AND FULLY UNDERSTAND ITS CONTENTS. I UNDERSTAND THIS IS A RELEASE OF LIABILITY AND I GIVE UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT VOLUNTARILY.



Parent Name:___________________________________________________


Signature:______________________________________________________


Relationship: __________________________________


 Date: ______________________________

 

PHOTO AND VIDEO RELEASE FORM - Optional

My child and I are participants in the Music Together® program. I hereby give permission to Music Together and Enchanted Music Together, Inc. to take photographs and video recordings of my child, or me, or both of us together, and use them in printed, web image or video formats for advertising and educational purposes.

The images may be edited in your sole discretion, and I expressly release Music Together, your agents, employees, and assigns from all claims which I have or may have for invasion of privacy, defamation, or any other cause of action arising out of exhibition or distribution of any materials in which my child and/or I appear.

By signing this document, I represent and warrant that I am the parent or guardian of the child whose name appears next to mine below, and that we shall both be bounded by this agreement.

 

Child’s name: _______________________________                    Parent  Signature: ______________________________

Child’s name:_______________________________