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EMERGENCY CONTACT INFORMATION

This information will be kept at all rehearsals.

IN CASE OF EMERGENCY, PLEASE CONTACT:

Please list any allergies or sensitivities or other info you think we should know while your child is in our care.

MEDIA CONSENT

By submitting this registration, I grant Music, Arts & Practicality [M.A.P.] and its agents the absolute right and permission to use photographic portraits, pictures, digital images, and/or video recordings of My Child(ren) or me or in which My Child(ren) or me may be included in whole or in part, or reproductions in color or otherwise for any lawful purpose whatsoever, including but not limited to use in any M.A.P. publication or promotion, including the M.A.P. website and social media sites, without payment or any other consideration.

I hereby waive any right that I may have to inspect and/or approve the finished product or the copy that may be used in connection therewith, wherein My Child(ren)’s likeness appears or the use to which it may be applied.

I hereby release, discharge, and agree to indemnify and hold harmless M.A.P. and their agents from all claims, demands, and causes of action that I or My Child(ren) have or may have by reason of this authorization or use of My Child(ren)’s photographic portraits, pictures, digital images, or video recordings, including any liability by virtue of any blurring, distortion, alteration, optical illusion, or use in composite form, whether intentional or otherwise, that may be produced in the taking of said images or video recordings, or in processing tending towards the completion of the finished product, including publication in print, on the internet, or in social media.

Consent
CONSENT: I hereby certify that I am the parent or guardian of the above named child(ren) and DO hereby give my consent, without reservation, to the foregoing on behalf of My Child(ren).
NON-CONSENT: I hereby certify that I am the parent or guardian of the above named child(ren) and DO NOT hereby give my consent without reservation to the foregoing on behalf of My Child(ren).
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MAPkids.hancock@gmail.com       ~         Facebook: Map Kids - Hancock County 

M.A.P. is a non-profit 501c3 organization whose purpose is to provide enriching experiences at no cost for children in grades K-12 in Hancock County, Mississippi, to explore and learn Music, Arts and Practicality (Life Skills) through participation in

Children’s Theater, Choir & Arts activities.

© 2017 M.A.P.   Proudly created with Wix.com

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