Name of Rhoer
Name of Parent/Guardian
Address
Phone Email
I, , on behalf of myself, my heirs, assigns and
all other persons or entities claiming by, under or through me, represents covenants and
agrees that I will not hold or seek to hold Sigma Gamma Rho Sorority, Inc., its officers,
directors, regions, members, affiliates, employees, agents or representatives responsible
for any liability resulting from my daughter’s participation in the Sigma Gamma Rho
Sorority, Inc. Rhoer Club. I further waive and release any and all rights and claims
against the aforementioned parties for any injury or loss suffered while participating in
this group.
I further grant an irrevocable and nonexclusive license to Sigma Gamma Rho Sorority,
Inc. allowing the use of my child’s name, voice, portrait, likeness, photograph and/or
motion pictures, either alone or accompanied by other material, in any media and
formats whether now known or later developed, for any purpose relating to developing
and promoting the growth and mission of Sigma Gamma Rho Sorority, Inc. and/or Sigma
Gamma Rho Sorority, Inc. Rhoer Club. I hereby waive all my rights to inspect and
approve the finished product and materials, their use or such visual, written or audio
copy as may be used in connection therewith.
Parent/Guardian Signature Date
