Liability Waiver Form

"*" indicates required fields

Full Name of Participant*

First Last

Preferred Name

Participant Details*

I am the participant and I am of legal age (above 18) to enter this agreement on behalf of myself

I am under the age of 18 and this waiver is being completed by a parent or legal guardian above the age of 18

Full Name of Parent or Guardian*

First Last

Studio Safety*

1. Students must wear safety glasses in the studios at all times (GAK will provide safety glasses).

2. Students will not load, unload or operate the glass kilns and furnaces.

3. Keep long hair tied back.

4. Do not wear articles of clothing or jewelry that hang off the body.

5. Wear loose fitting cotton or natural fiber clothing (i.e. 100% cotton).

6. Do not wear open-toed or open-heeled footwear (i.e. flip-flops, sandals or clogs) in the glass studios.

7. Do not use any equipment without an instructor present.

8. It can get very HOT in the glass blowing studio. Please be prepared and arrive well hydrated and continue to drink water throughout your time in the studio.

I fully understand and agree to follow these safety rules and precautions

Liability Release & Indemnity*

I agree that Glass Art Kalamazoo (hereinafter referred to as GAK, a nonprofit corporation organized and existing under the laws of the State of Michigan) and its respective employees, directors, officers, volunteers, members, instructors, students and other participants (hereinafter, the “Released Parties”) shall not be liable or responsible for injury to me (including paralysis or death) or damage to my property occurring during any GAK activities and resulting from acts or omissions occurring during the performance of the activities of the Released Parties, even where the damage or injury is caused by negligence (except willful neglect), including enroute to and from any class or event. I understand and agree that I am participating voluntarily and at my own risk in all GAK activities and I assume all risks of injury and damage arising out of such activities. I release and hold the Released Parties harmless from any injury or loss to my person or property which may result from my participation in GAK activities and events. I further promise to bind myself jointly and severally, my heirs, administrators, and executors to repay the Released Parties any sum of money that they may hereafter be compelled to pay on behalf of myself. I understand and agree the instructor has the right to end the class session at any time, for any reason. Instructor will do so when, in his/her sole opinion, it would be unsafe to continue with the instruction. Instructor shall also have the right to terminate any individual’s participation if, in the instructor’s sole opinion, said person is acting in a manner hazardous to others. I UNDERSTAND THAT THIS MEANS THAT I AGREE NOT TO SUE THE RELEASED PARTIES FOR ANY INJURY OR RESULTING DAMAGE TO MYSELF OR MY PROPERTY ARISING FROM, OR IN CONNECTION WITH, THE PERFORMANCE OF THEIR DUTIES IN SPONSORING, PLANNING, OR CONDUCTING GLASS ART ACTIVITES. I understand GAK often photographs and/or makes other recordings of events occurring in the studio. Studio users expressly consent to their image, likeness, and voice being so captured and authorizes GAK to use said material for any purpose including all commercial, publicity and fundraising purposes. Studio user waives all claims for remuneration for said use whether based on invasion of privacy or any other reason.

I fully understand and agree to the statement above and release liability and I further agree to waive all benefits flowing from any state statute that would negate or limit the scope of this release.

Assumption of Risk, Release, and Waiver of Liability Agreement*

I understand that GAK has undertaken reasonable steps to lessen the risk of transmission of illness and infectious diseases (including COVID-19). However, I understand that GAK is not responsible in any manner for any risks related to any such illness or disease in connection with its services. I am aware that participation in the Services (including any related travel) carries certain inherent risks related to COVID-19 or other illness transmission (“Inherent Risks”) that cannot be eliminated regardless of the care taken to avoid such risks. I understand participation in the Services may include coming in close contact with other individuals and that it is my responsibility to refrain from participating in the Services if I am ill or not feeling well. I hereby voluntarily accept and assume all risk arising from such Inherent Risks and agree GAK is not responsible or liable for myself becoming ill or infected with any illness (including COVID-19) as a result of participation in the Services. I have read and understood this Agreement and enter into it voluntarily in consideration of the opportunity to participate in the Services. I acknowledge I am giving up legal rights and/or remedies which may be available to me.

By signing this release, I certify that I have read this release and fully understand it and that I am not relying on any statements or representations made by the Released Parties.*

Full Name

Today's Date*

Would you like to have your email added to our email list?

Yes

Email Address

Optional Demographic Survey:

We wish to better understand our community and how our organization can improve to be the most inclusive and safe space possible. This information is also used for grants and state funding opportunities. Your answers will remain anonymous.

Age Group:

18-24 years

25-64 years

65+ years

How would you describe your racial and/or ethnic group(s)?

How would you describe your gender identity?

How would you describe your disability/ability status?

LIABILITY WAIVER FORM

Optional Demographic Survey:

Our Company

Contact

Supported By:

Connect With Us: