Disclaimer: By checking the box, you are agreeing to all terms listed on this sheet. The Parent/Legal Guardian will not hold Portage Center for the Arts, Inc. staff, faculty, directors or volunteers responsible for damage, injury or loss resulting from participation in this program. The Parent/Legal Guardian assumes full responsibility for any damage to Portage Center for the Arts property or physical or emotional injury to another person caused by the student. Consent is hereby given for the student to participate in authorized Portage Center for the Arts performances without compensation. Consent is also given for full and unrestricted use of student's full name, image and/or voice, without compensation, in photographs, videos, printed materials such as newspapers, magazines, brochures, catalogs, websites, and the like, created for Portage Center for the Arts promotions or publicity. This Agreement may not be modified orally; it may only be modified in writing and signed by both parties. By checking the box below the Parent/Legal Guardian agrees that all information above is correct and agrees to any and all terms listed.