Loading...

Release of Liability, Waiver of Claims, Express Assumption of Risk and Indemnity Agreement

Please read carefully and be certain you understand the implications of signing

1. I fully understand and appreciate the inherent risks associated with glassblowing, using a torch, and being present in a glass studio; the potential hazardous risks associated with any and all aspects of working with and in the proximity of hot glass; and/or the potentially dangerous environment that can be caused to myself, and/or to others, from the misuse, intentional or accidental, of hot glass or any and all equipment in the glass studio.
2. I acknowledge and understand that I will be voluntarily engaging in activities that involve hot glass and open flame, which may result in the risk of serious injury, scarring, loss of an important bodily function, permanent disability, or death, and may cause severe social or economic losses due to not only my own actions, inaction or negligence, but also to the action, inaction or negligence of others, or conditions of the premises or of any equipment used. Further, I acknowledge that there may be other risks not known to me or not reasonably foreseeable at this time.
3. I believe that I am physically, emotionally and mentally able to participate in this glass class.
4. I will immediately remove myself from participation, and notify the nearest staff member if at any time I sense or observe any unusual hazard or unsafe condition, or if I feel that I have experienced any deterioration in my physical, emotional or mental fitness for continued participation.
5. I assume all the foregoing risks and accept personal responsibility for the damages following such injury, permanent disability, or death.
6. I release from, waive and discharge all actions, claims, or demands that I, my assignees, heirs, guardians, and legal representatives now have or hereafter have for damage or losses on account of injury or illness, including permanent disability and death or damage to property, caused or alleged to be caused in whole or in part by the negligence or other acts of The Crefeld School, its subsidiaries, shareholders, directors, officers, employees or agents, as a result of my participation in any glass class related activities. I hereby agree and covenant to save and hold harmless, indemnify, and defend any claim against The Crefeld School, its subsidiaries, and its shareholders, directors, officers, employees or agents, as a result of my participation in any glass class related activities.
7. I agree that neither myself, nor my assignees, heirs, guardians, and/or legal representatives will sue The Crefeld School, its subsidiaries, shareholders, directors, officers, employees or agents as a result of my participation in any glass class related activities.
8. I understand that drinking alcohol before or during any glass classes or lessons is strictly prohibited.
9. I agree and understand that the staff and/or owners of The Crefeld School reserve the right to refuse entry, suspend or cancel any glass class related activities at any time for any reason.
10. I hereby grant permission to the rights of my image, likeness and sound of my voice as recorded on audio or videotape without payment or any other consideration. I understand that my image may be videotaped, edited, copied, exhibited, published or distributed and waive the right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my image or recording.
11. Further, I agree that by signing this waiver I will forgo using any personal photographs, pictures, videos, or other recorded media taken in, on or around The Crefeld School premises for any unlawful use that would directly, or indirectly, infringe upon The Crefeld School’s proprietary rights. Specifically, but not limited to, using any recorded media such as, but not limited to, photographs, videos, or voice recordings, for any personal or professional monetary gain, for any personal or professional promotional uses, for any advertising purposes, or for any other type of use that would cause public confusion as to the proprietary ownerships of The Crefeld School’s business operations.
12. For multiple day or week long classes or lessons, I understand and agree that all of the above waiver, release and assumption of risk will remain on file and apply to the entirety of the current class or set of lessons and will apply whenever I am on The Crefeld School’s premises.
13. SEVERABILITY. The undersigned expressly agrees that the foregoing assumption of risk, release and waiver of liability and indemnity agreement is intended to be as broad and inclusive as is permitted by the law of the State of Pennsylvania and that if any portion thereof is held invalid, it is agreed that the remainder of the agreement, shall, notwithstanding, continue in full legal force and effect.
14. BINDING ARBITRATION. I agree that any dispute relating to, referring to, involving or pursuant to this Agreement of release of liability, waiver, assumption of risk and indemnity shall be resolved exclusively by binding arbitration according to the rules of the American Arbitration Association. Such proceedings will be governed by substantive law of the State of Pennsylvania, excluding any application or consideration of the Arbitration Act of said State.

WARNING! By entering into this agreement, I am not relying on any oral or written representations or statements made by the Releases, other than what is set forth in this agreement. DO NOT under any circumstances sign this waiver if you do not feel you can fully, competently, emotionally and mentally adhere to each and every article above.

I HAVE CAREFULLY READ THE ABOVE WAIVER AND RELEASE OF LIABILITY AND FULLY UNDERSTAND THAT I GIVE UP SUBSTANTIAL RIGHTS BY SIGNING IT AND I DO SIGN IT VOLUNTARILY. I AGREE TO PARTICIPATE KNOWING THE RISKS AND CONDITIONS INVOLVED AND DO SO ENTIRELY OF MY OWN FREE WILL. I ACKNOWLEDGE READING THE RULES AND REGULATIONS OF THE CREFELD SCHOOL AND CREFELD GLASS STUDIO AND AGREE TO ABIDE BY THEM.

Today's Date: December 26, 2024 

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Information

Date of First Class/Lesson *
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Second Participant's Information

Date of First Class/Lesson *
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Third Participant's Information

Date of First Class/Lesson *
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information

Date of First Class/Lesson *
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information

Date of First Class/Lesson *
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information

Date of First Class/Lesson *
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information

Date of First Class/Lesson *
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information

Date of First Class/Lesson *
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information

Date of First Class/Lesson *
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information

Date of First Class/Lesson *
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information

Date of First Class/Lesson *
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!