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RELEASE FOR PARTICIPATION
 
The undersigned parent/guardian of _________________________, a participant ("Participant") in the Savannah Science Seminar ("SSS"), and the Participant do hereby acknowledge and agree that they assume full responsibility for and release and discharge the Savannah Science Seminar, a 501(c)3 organization and their directors, officers, employees, agents, affiliates, subsidiaries and assigns, and any and all persons and entities presenting and/or hosting programs for SSS, and their directors, officers, employees, agents, affiliates, subsidiaries and assigns, from any and all claims, demands, damages, actions, causes of action or suits of any kind or nature whatsoever, arising out of any personal injury, death, damage or loss resulting from or in any way related to Participant's participation in SSS during the 2017-2018 school year. The undersigned hereby acknowledge and agree that the terms of this Release have been completely read, are fully understood and are voluntarily accepted, and that the execution of this Release is necessary for the undersigned Participant to be able to participate in the SSS. The undersigned have signed this Release this ______ (day) of ______________ (month), 2017.

PERMISSION TO USE A PHOTOGRAPH AND EMAIL OF A MINOR
I hereby give permission to the Savannah Science Seminar (“SSS”) to use photographs, email, and/or video of ________________________, a participant (“Participant”) in SSS, in printed or electronic formats that will be displayed by SSS at www.savsciencesem.org and to the general public in either print or electronic format in order to promote the programs of the Seminar. I give my permission to identify the participant by name, school and email address.

I intend, by executing this Consent and Release, to release SSS and their directors, officers, employees, agents, affiliates, subsidiaries and assigns from any and all liability for alleged injury or damage resulting from the use of the photographs and/or video in print or electronic format.

COMMITMENT TO PARTICIPATE
The Savannah Science Seminar ("SSS") is an informative, fun, and challenging organization where student members learn about opportunities involved in numerous science and technology professions – professions that could be your foreseeable future. SSS is run by a host of working professionals who give generously in both their time and expertise which is why we have a mandate for participation from student members. As the top science students in the Coastal Empire Region, you are held to very high standards of participation. Understanding the twice monthly, Monday night schedule of the seminar sessions, the undersigned parent/guardian of _________________________, a participant ("Participant") in the SSS, and the Participant do acknowledge the dedication and commitment it takes to be a member in good standing of SSS during the 2017-2018 program year.



Parent's Signature           _____________________________

Print Parent's Name         _____________________________

Participant's Signature     _____________________________

Print Participant's Name    _____________________________

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