I grant permission for myself to be photographed and/or filmed during CCJA program activities for purposes of publicity. I understand that some photographs may appear on the CCJA website, CCJA social media, brochures, and other future print materials, and that occasionally the images may also appear in the news media. I grant permission for my name to be used publicly in electronic and print materials on behalf of CCJA. I grant permission for myself to be screened during CCJA program activities for symptoms of COVID-19, including without limitation fever, cough, or other symptoms based on guidance from the State of Colorado Department of Public Health & Environment. I acknowledge that I may be sent home if, in the sole judgment of the faculty of CCJA, I display the above signs of illness. If any illness, injury, or accident occurs which, in the sole judgment of the faculty of CCJA, requires immediate medical attention, I give consent for any member of the CCJA faculty to obtain such emergency treatment. I further consent to the signing of any releases by CCJA, which may be required by any medical care provider. I understand that in the event of an emergency medical situation, an emergency contact will be notified as soon as possible. I also agree to provide CCJA with emergency contact numbers. I further understand that the cost of any medical care deemed necessary for the treatment of any emergency illness, injury, or accident occurring while I am attending a CCJA activity is my responsibility, and that CCJA is not obligated to pay for such medical care. For the sole consideration of the CCJA allowing myself to participate in this program, I hereby release and forever discharge CCJA from any and all claims, demands, rights and causes of action of whatever kind that I may have either arising from or by reason of any illness, personal injury or property damage resulting from or in any way connected with my participation in this program, including without limitation any exposure to COVID-19. I understand that the aforementioned is applicable for the duration of my participation in CCJA.

I acknowledge that the concert date for this session is April 27th. I will contact you about any schedule conflicts as soon as possible.