Animation Festival

We are looking forward to hosting your student on Brenau's Historic Campus during the Spring 2019 Animation Festival!

Please complete the following fields and read and sign the agreement below. Signatures of both the parent/guardian and student are required. Students will not be allowed to participate in Animation Festival if this form is not on file with the Brenau Admissions Office.

First Name*

First Name

Last Name

Name of Parent or Guardian*

First Name

Last Name

Address Line 1*

Address Line 1

Address Line 2

City

State

ZIP Code

Parent/Guardian Phone*

Parent/Guardian Email*

The participating students are permitted a dinner ticket and a plus one for a teacher/parent/guardian. Any additional dinner tickets can be purchased for $8 on the day of the event. Please indicate below if the student listed above plans to eat dinner on campus at Brenau on March 8th and if there needs to be an additional dinner ticket for a teacher/parent/guardian. *

As parent/guardian of the above named student, I hereby grant permission for him/her to participate at the Animation Festival, March 8th, 2019.**

Yes No

The undersigned hereby releases and discharges Brenau University and participating faculty and staff from all liability, for negligence or responsibility, for loss or damage to the person or property of the student arising out of or in connection with the program. The undersigned chooses to assume all risk associated with the program, including any risk inherent in transportation to and from the place where the activity is to occur. Whether as a driver of my own vehicle, or as a passenger in another vehicle, I understand the vehicle driver’s automobile insurance becomes the primary source of any recourse for claims of liability should an injury/accident occur. I understand that I am solely responsible for any medical treatment I may need as the result of participation in this program and that Brenau University does not provide medical/health insurance for this program.

I have read and understand the terms of this agreement. The student and I have signed this form freely and voluntarily with full knowledge and consent of its terms and without any fraud, duress, or coercion.

My student also agrees that he/she will not leave the the Brenau University campus at any time during the Animation Festival on March 8th, 2019.*

Yes No

Signature of Parent/Guardian

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Signature of Student

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Month*