Actor Release Form printable pdf download

Actor Release Form

Because safety is one of our top priorities, please fill out the below information to better assist us in the event of

an emergency. This information will also help us in preventing any unforeseen circumstances. And will be kept

confidential.

Full Legal Name___________________________________________________________________________ Age________

School_____________________ Grade (if applicable)__________

Date of Birth__________________

Address___________________________________________________________________________

Home Phone ________________________

Medical Information:

Please List Any Known Allergies (dust, latex, makeup, etc.)______________________________

Do You Have Any Known Physical Conditions That May Place You At Risk While Working In A

Haunted Attraction? (epilepsy, heart condition, pregnancy etc.)

________________________________________________________________________________________________________

Actors Under 18:

Parent(s)/Guardian(s)

Name_______________________________________________________________________

Emergency Parent Phone

Number(s)______________________________________________________________

In The Event That We Are Unable To Contact Either Parent or Guardian, Please Supply 2

Additional Emergency Contact Names And Telephone Numbers. Please Include

Relationship

1._________________________________________________2.___________________________________________________

Actors Over 18:

Whom Should We Contact In The Case Of An Emergency?

Name__________________________Phone1____________________Phone2_____________________

I hereby, for my heirs, my executors, administrator and myself, waive all rights and claims for damages I may have against Fearscape

Productions LLC , The Frightuary haunted attraction, their staff, sponsors, vendors, contractors, the Lane Events Center, and any others

related to the attraction. I grant full permission for organizers to use photographs, video and quotations from me or including me

without compensation in legitimate accounts and promotions of this event. I consent to the named person, whether myself or my child,

working as a volunteer at The Frightuary haunted attraction. I understand that every reasonable effort will be made to attend all of my

scheduled work days and meetings. I have read the rules attached to this application and understand that I will be responsible for

following these rules and that not following them may result in my dismissal as a volunteer and may affect my future volunteer

opportunities with The Frightuary .

_____________________________________________________

Volunteer Signature (all ages), Date

______________________________________________________

Parent/Guardian Signature (if under 18) Date

Fearscape Productions, LLC

2015

Actor Release Form