Parent Name *

First Name

Last Name

Child Name *

First Name

Last Name

Phone *

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Mailing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parental Consent and Release Waiver *

I, the parent or legal guardian, hereby grant permission for my child to participate in the Kids Day event at the Port Austin Farmers Market, to be held on July 13, 2024. I understand and agree to the following terms and conditions: Supervision: I will ensure that my child is supervised at all times during their participation in the Kids Day event. I will either be present myself or designate a responsible relative or family member to accompany my child throughout the duration of the event. Responsibility: I acknowledge that I am solely responsible for my child's behavior and actions during the event. I will ensure that my child conducts themselves in a safe and respectful manner at all times. Craft Booth: I understand that my child will be setting up a free booth at the farmers market to sell their crafts and goodies. I consent to my child's participation in this activity and agree that any sales made by my child are their own responsibility. Release of Liability: I hereby release, waive, discharge, and covenant not to sue the organizers of the Kids Day event, the Port Austin Farmers Market, their officers, employees, agents, volunteers, sponsors, and affiliates from any and all liability, claims, demands, actions, or causes of action whatsoever arising out of or related to my child's participation in the event. Photography and Publicity: I consent to the use of my child's likeness, name, and photographs taken during the event for promotional and publicity purposes without compensation. Emergency Medical Treatment: In the event of any injury or medical emergency involving my child, I authorize the organizers of the Kids Day event to administer or arrange for any necessary medical treatment for my child. Contact Information: I agree to provide accurate contact information in case of emergency and to promptly notify the event organizers of any changes to this information. Market Master Authority: I acknowledge that the Market Master of the Port Austin Farmers Market has complete authority over the event and premises. I agree that my child and I will follow all orders, instructions, and guidelines provided by the Market Master or their designated representatives during the event.

I agree.