Release of Liability

 PARTIES  CLASSES  FUN ART  CLASSES  PARTIES  FUN ART  PARTIES  CLASSES 

Release of Liability and Photo Release

I hereby certify that the minor listed above is in my legal custody and has my permission to participate in the courses conducted by the ART ZONE. I further certify that the participant is in good health and has no physical or other impairment which would endanger the participant when engaging in such program.

I absolve and hold harmless the ART ZONE, its employees, officers or agents from any liability which may result from participation in courses conducted by the ART ZONE. I understand that The ART ZONE has no obligation to supervise my child at the close of the above activity, and I release the ART ZONE, its officers, employees, and agent from any liability resulting from any lack of supervision of my child at the close of the activity.

PHOTO RELEASE: Participants involved in the ART ZONE programs may be photographed and such photograph may be used to publicize ART ZONE programs/activities.

Your Information

First Name *

Last Name *

Mobile Number *

Email Address *

Address *

Address Line 2

City *

State/Province *

Zip/Postal Code *

IN CASE OF EMERGENCY ILLNESS, INJURY NOTIFY THE FOLLOWING CONTACTS

Additional Parent/Guardian:*

Phone Number: *

Additional Emergency Contacts:

Name:

Relation:

Phone Number:

Name:

Relation:

Phone Number:

Doctor Name:

Phone Number:

Allergies (if none, so state): *

Food Restrictions:*

List any other condition which should be known by physician administering treatment:

Photo Release*
permission granted
exclude my child

Participants involved in the ART ZONE programs may be photographed and such photograph may be used to publicize ART ZONE programs/activities.

Child Information:

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By clicking 'I Agree' below, you agree that you have read and agree with the terms of the waiver and that the information you provided is accurate. You furthermore agree that your submission of this form, via the 'I Agree' button, shall constitute the execution of this document in exactly the same manner as if you had signed, by hand, a paper version of this agreement.