2019 “FUSD’s Got Talent!” Show Participant Application

ASSUMPTION OF RISKS
I understand the program offered through Fremont Unified Student Store (FUSS) may include, but is not limited to, the following potentially hazardous indoor and outdoor activities: sports, initiative activities, games and events. The inherent risks of these activities may cause, but is not limited to the following: personal injury, property damage, property loss, illness or death. I understand that my participation in the program is voluntary.

RELEASE OF LIABILITIES
In recognition of the nature of the program, I, or my child, my heirs and assigns, hereby release FUSS, its directors, officers, professional staff, employees, volunteers, agents, promoters, other participants, operators, officials, person(s) in any event area, sponsors, advertisers, owners and lessees of the premises used to conduct the event, from any and all claims of negligence arising from participation in the program. I further agree to hold harmless and indemnify FUSS, its directors, officers, professional staff, employees, volunteers, agents, promoters, other participants, operators, officials, person(s) in any event area, sponsors, advertisers, owners and lessees of the premises used to conduct the event for all defense costs, including attorney fees, and any other costs, expenses or claims in connection with my participation in this program. I also understand that this release relates to all claims and liability resulting from unforeseen circumstances.

CONSENT FOR USE OF NAMES, IMAGES, PHOTOGRAPHY AND RECORDING
I hereby give FUSS my consent to use my name, quotes, photos/images, and to take photographs, video recordings, and/or sound recordings of me during my participation. I grant FUSS my permission to use the negatives, prints, motion pictures, video tapings, or any other reproduction of the same for promotional purposes on flyers, on the World Wide Web, or in any other manner deemed necessary to raise fund to support the Fremont Unified School District schools, students and programs.

PERMISSION FOR MEDICAL CARE
In the event of illness or injury, I hereby consent to any and all of x-ray examination, anesthetic, medical, surgical, or dental diagnosis of treatment and hospital care that are deemed necessary by the attending physician, surgeon, or dentist and performed by or under the supervision of a member of the medical staff of the hospital or facility furnishing medical or dental services, and I agree to pay for such medical or dental care whether or not such care is covered under, or the costs are insured by, my health insurance. FUSS representatives are authorized to call 911 in case of an emergency.