Minor Participation Waiver

MINOR PARTICIPATION WAIVER MomoCon is an animation/anime/gaming convention held at the Georgia World Congress Center in downtown Atlanta. MomoCon hosts volunteers who take part in crowd facilitation, light equipment transport and various other simple tasks throughout the weekend in return for free admission to the event, t-shirt, and other assorted prizes. Since your child is a minor, between 16 – 18 years of age, we ask that you take the time to fill out this form for your child to turn in before or by the beginning time of the convention to participate. Volunteers under the age of 16 may volunteer, on a case-by-case basis, alongside a parent or guardian volunteering in the same department. PLEASE DO NOT MAIL THIS FORM. WE ASK THAT YOUR CHILD HAND IT IN AT A VOLUNTEER MEETING OR AT THE CONVENTION. In consideration of (the "Minor") being permitted by MomoCon to participate in volunteer activities, I, the undersigned represent and affirm that I am the parent or legal guardian of the Minor whose name appears above. I understand and agree that the terms and conditions outlined below apply to the Minor and to me. I further agree to indemnify and hold harmless MomoCon, its affiliates, directors, and/or associates from any and all claims which are brought by, or on behalf of the Minor, and which are in any way connected with the Minor's participation in the convention. In consideration of “Minor” being permitted to participate in any activities organized, operated or sanctioned by MomoCon, I, the party involved hereby acknowledge and agree to the following terms and conditions: 1. I and “Minor” have read, understand, and agree to abide by the MomoCon Code of Conduct, Dress Code, Weapons Policy, and other MomoCon policies and procedures posted on the MomoCon web site. 2. I and “Minor” understand and agree that the MomoCon policies and procedures, and the terms and conditions of participation set out in the volunteer guidelines are effective and apply to the "Minor" at all times when present on and around the Congress Center and Official Hotel(s) during MomoCon. 3. I and “Minor” acknowledge and agree that acceptance of any badge, membership or other form of admission issued by MomoCon constitutes acceptance of agreement to the following: (a) Releases MomoCon from any liability for loss or damage to persons or property, infringement of any right, or any claim or cause of action of any kind. (b) Authorizes and permits MomoCon and its designees to use his/her name, voice, and likeness and all reproduction thereof in all media now and hereafter known for all purposes in perpetuity. (c) Agrees to comply with all convention rules and regulations. 4. I understand that the convention in which the "Minor" will participate is of a voluntary nature. I further understand that some of the Events involve physical activities, including but not limited to dancing or role playing, and may be inherently dangerous and may carry the rise of serious or grievous injuries, including bodily injury, damage to personal property and/or death. Understand the nature of the Events and represent that the "Minor" is qualified and has no health problems, medical issues, or disabilities that would not allow him/her to participate in such Events. I further acknowledge that the Events will be conducted in facilities open to the public. 5. Should it be necessary for the “Minor” to receive medical care while participating as a MomoCon Volunteer member, I give the MomoCon personnel to use reasonable discretion in obtaining medical care for the "Minor", and grant permission to any physician or other qualified medical providers, including but not limited to nurses and ambulance personnel to render whatever medical care they deem necessary & that all charges for services, equipment, and supplies incurred for such treatment shall be my sole responsibility, and agree to pay for all that was associated with rendering medical care to my child. Parent or Guardian’s Signature: Print Parent or Guardian Name: Relationship to the Participant: Date: Emergency Contact & Phone #: .

Load more