March 13, 2021 Music Camp Cedarstone 2021 Camper InformationCamper Name* First Last I am registering for Camp Cedarstone:* Singer Songwriter June 4-6 Rock Band June 21-24 The Voice July 19-22 Camper Phone*Camper Email*Parental/Guardian Informationunder 18 must have guardian fill out and check consentParent Name #1 First Last Parent PhoneParent EmailParent Name #2 First Last DOB of Camper (month/day/year)*What is your Main Instrument*VoicePianoGuitar - ElectricGuitar - AcousticDrumsBassotherDo you play a Second Instrument*VoicePianoGuitar - ElectricGuitar - AcousticDrumsBassotherGender* Male Female T-Shirt Size*SmallMediumLargeX LargeList any food allergies/restrictionsCamper Photo - Headshot please to be used for ID lanyards*FileTitleWhat are you most looking forward to at Camp Cedarstone 2021? Consent* I agree to the Cedarstone Camp PoliciesI hereby grant permission to Cedarstone Music LLC and its representatives to take photographs and videos during my time at Camp Cedarstone 2021. I further grant to Cedarstone Music LLC and its representatives the right to use these images for any purpose including, but not limited to, the right to reproduce, use, exhibit, display, broadcast, distribute, or create derivative works of these images and recordings in any media now known or later developed. I acknowledge that Cedarstone Music LLC owns all rights to the images and videos that are taken during camp. WAIVER, INDEMNITY AND RELEASE I hereby waive any right to inspect or approve the use of the images of any written copy. I further waive all moral rights. I also waive any right to royalties or other compensation arising from or related to the use of the images or materials. I hereby release, defend, indemnify, and hold harmless Cedarstone Music LLC and its representatives from any and all claims, demands, causes of action, damages, or liability which are in any way connected with my participation in the event or arising from or related to the use of the images, recordings or materials, including, but not limited to, claims of negligence, personal injury, defamation, invasion of privacy, rights of publicity, copyright infringement, or any misuse, distortion, blurring, alteration, optical illusion or use of any incomposite form that may occur or be produced in taking, processing, reducing, or producing the finished product. I am 18 years of age or older and I am competent to contract in my own name. If the participant is a minor, I agree that this agreement is made on behalf of that minor participant. I represent that I have full authority as parent or legal guardian or the minor participant to bind the minor participant to the agreement. I fully understand the consent, waiver, indemnity and release. This consent, waiver, indemnity and release is binding on me, my heirs, executors, administrators, and assigns.CommentsThis field is for validation purposes and should be left unchanged.