Salida Circus Outreach FoundationOnline Camp & Class Registration + Liability Waiver for easy class and camp sign up: Participant Information Participant Name Age Birthdate Parent/Guardian Information Parent/Guardian Name Phone Number Email Emergency Contact (other than parent/guardian) Emergency Contact Name Relationship to Participant Emergency Contact Phone (required) Optional Involvement Would you like to receive the Salida Circus Newsletter? YES NO Are you interested in volunteering with Salida Circus? YES NO Do you (parent/guardian) have a special skill and want to perform or teach? YES NO If Yes, Please describe Liability Waiver & Acknowledgment of Risk Please read and check each box to continue. I understand that circus arts are physical activities that may include aerial work, juggling, balancing, tumbling, acrobatics, unicycle, rolling globe, stilt walking, and other movement-based skills. I acknowledge that participation involves inherent risks, including falls, bumps, bruises, muscle strain, and other injuries that can occur during physical activity. I voluntarily allow my child to participate in Salida Circus Outreach Foundation camps, classes, and activities. I agree that I will not hold Salida Circus Outreach Foundation, its instructors, staff, volunteers, venue hosts, or property owners liable for any injury, accident, or harm that may occur. I agree that I will not pursue legal action against Salida Circus Outreach Foundation or any associated individuals or locations for injuries or damages arising from participation. I authorize Salida Circus staff to seek emergency medical treatment for my child if needed, and I understand that I am responsible for any medical expenses. Photo/Video Permission Please choose one: I give permission for my child to be photographed or filmed for nonprofit promotional use. I do NOT give permission for photo/video use. Digital Signature Parent/Guardian Full Name (Your typed name serves as your legal signature.) Date Send
