The Beverly Xperience

The Year of The Open Door

Parental Consent, Liability, and Performance Release Waiver

Performer’s Name:

Performer’s Date of Birth:   Age:

Parent / Legal Guardian Name:

I, the undersigned, certify that I am the parent or legal guardian of the minor Performer named above. I hereby grant permission for my child to participate and perform in the show segment The Year of the Open Door (the “Show”). In consideration for my child being granted this opportunity, I agree to the following terms:

1. Media & Broadcast Release I grant the Show and its production partners the irrevocable, worldwide right to record, photograph, broadcast, distribute, and stream my child’s voice, performance, name, likeness, and biographical information across all media platforms (including TV, internet, and social media) in perpetuity without financial compensation.
2. Chaperone & Accompaniment Policy I acknowledge that because the Performer is under the age of 18, they must be accompanied at all times during travel, rehearsals, and taping by myself or a designated adult chaperone who is at least 21 years of age. I accept full responsibility for the Performer’s conduct and safety while on site.
3. Safety & Liability Waiver I agree to release, indemnify, and hold harmless the Show, its producers, staff, and venue from any and all claims, damages, or liabilities arising out of my child’s participation in the segment, except in cases of gross negligence by the production.

By signing below, I confirm that I have read, understood, and agree to all terms of this release.