Omega Psi Phi Fraternity, Inc.
Parental Release and Consent Form
Talent Hunt Competition
Insurance information:
Photo and Image Release:
I give the Omega Psi Phi Fraternity, Inc. permission to photograph, videotape or record my child and to use the photographs, videotape, film or recording in its print and electronic publications, video broadcasts, radio broadcasts or any other presentation of the images. I agree that the photographs and videotapes, including negatives, slides and prints or any other presentation of the images, are the property of the Omega Psi Phi Fraternity, Inc. I waive any right I may have to inspect and/or approve the finished product in which the images may be used. By signing this form, I hereby release and discharge the Omega Psi Phi Fraternity, Inc., from any and all claims that I may have, and agree to hold harmless and defend the Omega Psi Phi Fraternity, Inc., from liability arising from claims or litigation arising from its use of my child’s image, voice, or performance.
Waiver and Consent for Emergency Treatment:
I am aware that the activity for which I am registering my child involves limited events or field trips that will be conducted as part of this activity. In consideration of the right to participate in this activity, I waive and release any and all rights and claims for damage I may have against the Omega Psi Phi Fraternity, Inc., its Board of Directors, District or local officials, members, employees and agents, for any and all injuries, if any, suffered by my child while participating in this activity.
I hereby give my consent to emergency treatment including, but not limited to, hospitalization, administration of medication, or any medical treatment deemed necessary by medical professionals, as may be needed for the health and welfare of my child. I hereby release Omega Psi Phi Fraternity Inc., and its’ Chapters, from any and all rights and claims for damages which I or my child may have due to the administration of any medical care and/or treatment received by my child as a result of said emergency medical treatment.
If you are under the age of 21, your parent/guardian must also sign this form.
Thanks for registering for Talent Hunt 2022. Can't wait to see your performance!