By submitting this form the undersigned, on behalf of himself or herself and the participant (if a minor) hereby releases and discharges STXSA and its officers, employees, agents and assigns (referred to herein as "STXSA") of and from all claims, liabilities, and causes of action for damages and injuries including those caused by any act or failure to act, negligence, willful misconduct, breach of contract, product liability or violation of statute arising from or relating to the undersigned and/or the participants' attendance and participation in the event described above. I agree to indemnify STXSA and hold it harmless from all such losses, liabilities, damages, claims and actions including legal fees and fees of defense arising out of this event (workshop/class/concert/play-in/etc.). The undersigned, further consents, on behalf of himself or herself and the participant (if a minor), to  STXSA's use of photos, videos or recordings of the undersigned and/or the participant from this event (workshop/class/concert/play-in/etc.) for publicity for the organization in print or electronic media.