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Next Event's Theme:
Arts Formal
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Formal 2014

A Night with the Arts

Location: Lyric Theater and Cultural Arts Center
Date: August 2nd
Time: 7:00pm-10:00pm
Cost: $10 or $15 if you pay at the door

This is a formal dance that puts the spot-light on our local musicians and artists.
Our music will be provided by local talent covering a variety of genres.
There will be an art-gallery featuring works by teens; this will be on display in the same room as the party.

If you're an artist or a musician interested in taking part, you can get more info or sign up here.

We'll also have finger food and drinks as well as all kinds of dancing. Plus, we have a table with board-games for our less energetic party-goers.

Parking: You can park either at the Lyric Center parking lot or the Polk Dalton Clinic; both are just across the street from the Lyric Center.

All of Kezip's Under 21 Events are open to anyone under the age of 21 and mature enough to conduct themselves appropriately and respectfully under limited supervision. We leave that distinction up to the parents' best judgment.

Want to invite friends? The event's also listed on FaceBook!

Signup
I am under 21 and thus allowed to be at this event.

Name:

Please input your first and last name; this is for verifying that you've paid when we sign you in at the door.

Contact Info:

Please input either a phone number with texting or an email address so we can contact you and to verify your mail-in payment if you use that option.

Before you sign up, read the rules.

*We accept credit, debit, and Paypal online, or you can mail in checks or cash if you send it early. We need the checks at least a week before the event to make sure they clear. Entry at the door is $15 dollars and that must be cash.

This is an accident waiver; please read and type your name in the box below (or have a parent if you're under 18). If this is daunting; don't worry, it basically means you accept the possibility that an accident could happen and won't take legal action against us for it, and that we have permission to get you medical help if you need it.

ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM

I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED WITH THIS EVENT, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault.
I certify that I am physically fit, have sufficiently prepared or trained for participation in this activity, and have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my participation in this activity. I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors, and organizers of the activity in which I may participate, and that it will govern my actions and responsibilities at said activity.
In consideration of my application and permitting me to participate in this activity, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows:
(A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this activity, THE FOLLOWING ENTITIES OR PERSONS: Both the Lyric Center and Kezip's Under 21 Events, and/or their directors, officers, employees, volunteers, representatives, and agents, and the activity holders, sponsors, and volunteers;
(B) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this activity, whether caused by the negligence of release or otherwise.
I acknowledge that Kezip's Under 21 Events and their directors, officers, volunteers, representatives, and agents are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a specific activity on their behalf.
I acknowledge that this activity may involve a test of a person's physical and mental limits and carries with it the potential for death, serious injury, and property loss. The risks include, but are not limited to, those caused by terrain, facilities, temperature, weather, condition of participants, equipment, vehicular traffic, lack of hydration, and actions of other people including, but not limited to, participants, volunteers, monitors, and/or producers of the activity. These risks are not only inherent to participants, but are also present for volunteers.
I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this activity.
I understand while participating in this activity, I may be photographed. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by the activity holders, producers, sponsors, organizers, and assigns.
The Accident Waiver and Release of Liability Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.
I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.


I have read and agree to this, signed: