Parent/Guardian Information

First Name:  Last Name:  

Address:  Phone Number:   Email:   

Student Information

Child 01

First Name:   Last Name:   Grade Level:

Child 02

First Name:   Last Name:   Grade Level: 

Child 03

First Name:   Last Name:   Grade Level: 

Child 04

First Name:    Last Name:   Grade Level: 

Child 05

First Name:   Last Name:   Grade Level:   

Free Hair Cuts

• Haircuts are provided on a first-come, first-served basis.
• Only two (2) children per registered adult may receive a free haircut.
• If you are registering one of your children listed above for a free hair cut, please enter their names below:

First Name:    Last Name: 

First Name:    Last Name: 

Exhibit A

Photo Release

I understand, as parent/legal guardian of the child listed on this form, that there are times when the local media requests the opportunity to videotape, take photographs and/or interview children attending City of Milwaukee events. I also give permission to the city to take or use pictures or videos of my minor child without compensation from the city for published, broadcast or electronic materials. I understand that by signing this, I am on behalf of my child releasing the City of Milwaukee and its directors, officers, employees and agents from any future claims as well as from any liability arising from the use of any photograph or other images.

Parental Release and Waiver of Liability Agreement

This Release and Waiver of Liability (the “Release”) executed by the undersigned releases the City of Milwaukee and each of its directors, officers, employees, and agents (collectively the “City”) from potential liability arising from my child’s participation in the 4th Annual Back to School Festival (the “Event”).

1. Waiver and Release: I release, forever discharge, and hold harmless the City from any and all liability, claims, and demands which arise or may hereafter arise from my child’s participation in the Event by virtue of the City’s negligence. I understand and acknowledge that this Release discharges the City from any liability or claim for negligence that I may have against the City with respect to bodily injury, personal injury, illness, death, or property damage that may result from my child’s participation in the Event.
2. Insurance: I understand that the City does not assume any responsibility for or obligation to provide me or my child with financial or other assistance, including but not limited to medical, health, or disability benefits or insurance. I expressly waive any such claim for compensation or liability on the part of the City beyond what may be offered freely by the City in the event of injury or medical expenses incurred by my child.
3. Assumption of Risk: I understand that the Event may include activities that may be hazardous to my child by virtue of the fact that the Event is taking place in a space that is open to the public, currently under renovation, and operates as an active workplace. I acknowledge that participating in the Event comes with risk and expressly assume that risk and release the City from all liability associated with my child’s participation in the Event.
4. Third Party Claims: I understand that my child is not an agent of the City. I further understand that the City is not agreeing to indemnify, defend, or hold myself or my child harmless for any of my child’s acts or omissions, regardless of whether they are in the course of participating in the Event. Any liability that results from my child’sacts or omissions is solely my responsibility and I agree to indemnify and to hold harmless the City with regard to any claim or expenses including attorneys’ fees and other costs of defending any claim by a third party that results from my child’s acts or omissions.
5. Photographic Release: I grant and convey to the City all right, title, and interests in any and all photographs, images, video, or audio recordings of my child or his/her likeness or voice made by the City in connection with the Event.
6. Choice of Law, Venue, and Jurisdiction: This Release shall be governed by and construed according to the laws of the State of Wisconsin. Any litigation relating to this Release must be brought in the state and federal courts having jurisdiction in Milwaukee County, Wisconsin, and I consent to the jurisdiction of such courts.
7. Waiver of the Right to Negotiate: I have considered that if this waiver of liability was not as broad as it is, the cost of holding the Event would be considerably higher and my child may not have the ability to participate in the Event. Because I wish to allow my child the opportunity to participate in the Event, I waive the right to bargain for a different waiver of liability terms.