Please fill out this registration form completely. Name of participant(s) * Of those participants named above, how many are children under 12 (for wardrobe sizes) * - Select -012345678910 Email contact * LICENSE TO PHOTOGRAPH AND REPRODUCE: I authorize the use by SJMA of any and all photographs or video footage taken of any participants listed on this form during participation in Suffragette City. I hereby grant SJMA a non-exclusive, limited license in perpetuity to reproduce any and all photographs/video throughout the world in all media for educational, scholarly, promotional and/or publicity purposes. * I agree HOLD HARMLESS AND ASSUMPTION OF RISK:I hereby waive and release any claims that I may have, or which may hereafter accrue to me, against the San Jose Museum of Art (“the Museum”), the members of the Board of Trustees of the Museum, the Museum’s officers, directors, employees, agents, and the City of San José (collectively “Releasees”) for personal injury, including death, as well as all property damage or loss, arising out of my volunteer activity with the Museum. Additionally, I agree to hold Releasees harmless from, and indemnify Releasees against, any such claims. I assume the risks of and accept personal liability for any personal injuries or property damage that might occur as a result of my volunteer activities. I hereby release and forever discharge Releasees from any claims whatsoever which arise on account of any first aid, treatment, or services rendered in connection with my volunteer activities with the Museum. * I agree Signature * Please type your full name.