Old Spanish Days in Santa Barbara, Inc

Old Spanish Days in Santa Barbara, Inc

Fiesta Flower Girls and Las Senoritas

2017 Application

PARTICIPANT’S NAME: _______________________________________________________________________________

(LAST NAME) (FIRST NAME)

PARENT’S NAME: ___________________________________________________________________________________

(LAST NAME) (FIRST NAME)

ADDRESS: ______________________________________________________________ ZIP _______________________

TELEPHONE: _______________________________________________________________________________________

(HOME) (WORK) (CELL)

AGE (AS OF JULY 1, 2017): ___________ DOB: ________________________________________

EMAIL ADDRESS: _____________________________________________________ (NECESSARY FOR TIMELY COMMUNICATIONS)

SCHOOL ATTENDING IN FALL: _________________________________________________________________________

THIS WILL BE MY: ________ YEAR AS A FLOWER GILR AND/OR _______________YEAR AS A LAS SENORITAS

LIABILITY RELEASE:

The undersigned herby voluntarily assumes any and all risks arising out of and/or connection with her/his participation in Fiesta Flower Girls or Las Senoritas Program and Old Spanish Days in Santa Barbara, Inc. (“OSD”) events.

The undersigned hereby releases Old Spanish Days in Santa Barbara, Inc., (“OSD”), its employees, agents, directors, and/or officers, their heirs, executors and/or administrators of their estates, and all other persons associated with OSD from any and all claims and causes of action that may result by reason of injury that has been sustained or may be sustained, and from any and all damages to property that may result because of her/his participation in the Fiesta Flower Girl and Las Senoritas Program and OSD events.

Both the minor and the parent/guardian shall sign the release, and hereby agrees to hold said OSD and each of the above stated persons harmless from all liability whatsoever to said minor arising out of her/his participation in the Fiesta Flower Girl and Las Senoritas Program and OSD events.

Signed this ______ of _______________ 2017

(Day) (Month)

City, State, Zip ______________________________________________________________________________________

___________________________________________ _______________________________________

Signature of Participant Print Name

___________________________________________ _______________________________________

Signature of Parent/Guardian Print Name