An adult must sign the permission slip / photo release form. Patients and guests 18 years and over can sign the form themselves. All forms must be signed.
Patient
Please choose you t-shirt size: S M L XL XXL
I am the authorized signer or parent / legal guardian having legal custody of (insert patient's name) a minor who may participate in the Friends of Scott Foundation Annual Unforgettable Prom on Friday, March 31, 2023. I hereby release the above named organization, their affiliates, employees, volunteers, and those individuals participating in the above event, from liability and claims resulting from injury, illness, or damages which my child may suffer while at the event. I understand that participating in the Friends of Scott Prom is a privilege and I promise to behave appropriately.
Photos
I give permission for Foundation staff or volunteers to take photos of my child/guardian and/or to use photos for publication online or in print.
Yes No
Guest
I am the authorized signer or parent / legal guardian having legal custody of (insert guest's name) a minor who may participate in the Friends of Scott Foundation Annual Unforgettable Prom on Friday, March 31, 2023. I hereby release the above named organization, their affiliates, employees, volunteers, and those individuals participating in the above event, from liability and claims resulting from injury, illness, or damages which my child may suffer while at the event. I understand that participating in the Friends of Scott Prom is a privilege and I promise to behave appropriately.
