FCFILMZ.COM
FILM PROJECTS
Purpose
SUPPORT US
Extras
I plan to participate in the following ways:
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Away Basketball Teams (July 7th Sun @ 5pm-7pm)
Basketball Team (July 6-7th Sat-Sun @ 2pm-7pm)
Hallway Scenes (July 5-6th Fri-Sat @ 10am-2pm)
Cheerleaders (July 5-7th Fri-Sat @ 10am-7pm)
Crowd during game (July 7th Sun 4:30pm-7pm)
Check the box to all that apply
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Participant's Name
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First
Last
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Phone Number
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Email
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Age
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12-17
18-25
26-39
40+
READ BEFORE SIGNING
I (the undersigned and/or child of undersigned) do hereby confirm permission to participate with FC Filmz in its production of the Christianity Sucks Series; which follows stories of different teenagers as they struggle in their journey of balancing faith and friendship in their every day life.
I understand that I shall receive no compensation for my appearance in and participation in the film or video. I hereby grant to you, your successors, assigns and licensees, to use as your desire, all video, still and motion pictures which you may make of me (the undersigned and/or child of undersigned). I therefore acknowledge, appreciate, and agree that:
The
risks of injury and illness (ex: communicable diseases such as MRSA, influenza, COVID-19, and injuries associated with the film, whether permanent or not)
to myself or child from the activities involved in these programs are significant, including the potential for permanent disability and death, and while particular rules (such as temperature checks, masks upon entry and social distancing when required), equipment, and personal discipline may reduce these risks, the risks of serious injury and illness do exist; and,
1. FOR MYSELF, SPOUSE, AND CHILD, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES or others, and assume full responsibility for my child’s participation; and,
2. I willingly agree to comply with the program’s stated and customary terms and conditions for participation. If I observe any unusual significant concern in my child’s readiness for participation and/or in the program itself, I will remove my child from the participation and bring such attention of the nearest official immediately; and,
3. I myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS FC Filmz; its directors, officers, officials, agents, employees, volunteers, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“Releasees”), WITH RESPECT TO ANY AND ALL INJURY, ILLNESS, DISABILITY, DEATH, or loss or damage to person or property incident to my child’s involvement or participation in these programs, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
4. I, for myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY INDEMNIFY AND HOLD HARMLESS all the above Releasees from any and all liabilities incident to my involvement or participation in these programs, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent permitted by law.
5. I, the parent/guardian, assert that I have explained to my child/ward: the risks of the activity, his/her responsibilities for adhering to the rules and regulations, and that my child/ward understands this agreement.
I, FOR MYSELF, MY SPOUSE, AND CHILD/WARD, HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
By clicking YES below I AGREE and ACCEPT all terms listed above.
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YES
Terms Include the following: READ BEFORE SIGNING I (the undersigned and/or child of undersigned) do hereby confirm permission to participate with FC Filmz in its production. I understand that I shall receive no compensation for my appearance in and participation in the film or video. I hereby grant to you, your successors, assigns and licensees, to use as your desire, all video, still and motion pictures which you may make of me (the undersigned and/or child of undersigned). I therefore acknowledge, appreciate, and agree that: The risks of injury and illness (ex: communicable diseases such as MRSA, influenza, COVID-19, and injuries associated with the film, whether permanent or not) to myself or child from the activities involved in these programs are significant, including the potential for permanent disability and death, and while particular rules (such as temperature checks, masks upon entry and social distancing when required), equipment, and personal discipline may reduce these risks, the risks of serious injury and illness do exist; and, 1. FOR MYSELF, SPOUSE, AND CHILD, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES or others, and assume full responsibility for my child’s participation; and, 2. I willingly agree to comply with the program’s stated and customary terms and conditions for participation. If I observe any unusual significant concern in my child’s readiness for participation and/or in the program itself, I will remove my child from the participation and bring such attention of the nearest official immediately; and, 3. I myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS FC Filmz; its directors, officers, officials, agents, employees, volunteers, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“Releasees”), WITH RESPECT TO ANY AND ALL INJURY, ILLNESS, DISABILITY, DEATH, or loss or damage to person or property incident to my child’s involvement or participation in these programs, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law. 4. I, for myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY INDEMNIFY AND HOLD HARMLESS all the above Releasees from any and all liabilities incident to my involvement or participation in these programs, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent permitted by law. 5. I, the parent/guardian, assert that I have explained to my child/ward: the risks of the activity, his/her responsibilities for adhering to the rules and regulations, and that my child/ward understands this agreement. I, FOR MYSELF, MY SPOUSE, AND CHILD/WARD, HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMEN
PARTICIPANT OR PARENT / GUARDIAN NAME (FIRST & LAST); Considered DIGITAL SIGNATURE by entering name below
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(If participant is under 18 yrs old have parent read and enter their name)
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FILM PROJECTS
Purpose
SUPPORT US