HOLD HARMLESS AND INDEMNIFICATION AGREEMENT I, ___________________________________, the undersigned, hereby agree to hold harmless and indemnify PENSACOLA

LITTLE THEATRE, INC., its agents and employees, from any claim or cause of action resulting from or relating to the presence and/or performance of: () () myself; or my minor child/ward named _______________________________________

at __________________________ on (date) _________________. Such shall be mutually and individually binding upon me. The undersigned hereby acknowledges and agrees that the PENSACOLA LITTLE THEATRE shall not be liable for any damage, destruction, loss or theft of any property, or any injury to me or to any other person. Furthermore, the undersigned understands that alcoholic beverages may be served at the above referenced time and place. The undersigned covenants and agrees not to consume any alcoholic beverages if under the age of 21 and agrees not to allow or permit the minor, if applicable, from consuming alcoholic beverages. The undersigned shall hold harmless and indemnify PENSACOLA LITTLE THEATRE from any claim or cause of action resulting from or relating to any unauthorized consumption of such beverages. Understood and agreed this _______ day of ________________, 2010.

____________________________________________ Signature Print Name:__________________________________ Parent/Guardian of: ____________________________ Telephone Number: (_____)______________________ Address:______________________________________ _____________________________________________