Loading...

Pau Hana Studio

11144 Golf Links Rd

Oakland, CA 94605

info@pauhanastudio.com

RELEASE OF LIABILITY

In consideration for being allowed to participate in this Activity, I release from liability and waive my right to sue Pau Hana Studio, their employees, officers, volunteers and agents (collectively “the Studio”) from any and all claims, including claims of the Studio’s negligence, resulting in any physical injury, illness (including death) or economic loss I may suffer or which may result from my participation in this Activity, or any events incidental to this Activity.


EXPRESSED ASSUMPTION OF RISK

I am voluntarily participating in this Activity. I understand that there are risks associated with my participation in this Activity, such as physical and/or psychological injury, pain, suffering, illness, disfigurement, temporary or permanent disability, death or economic loss. These injuries or outcomes may arise from my own or other’s actions, inactions, or negligence, or the condition of the Activity location (s) or facility (ies). Nonetheless, I assume all risks of my participation in this Activity, whether known or unknown to me, including any events incidental to this Activity.


HOLD HARMLESS

I agree to hold the Studio harmless from any and all claims, loss or damage to my personal property, liabilities and costs, including attorney’s fees, as a result of my participation in this Activity, including any events incidental to this Activity. If the Studio incurs any of these types of expenses, I agree to reimburse the Studio.


UNDERSTANDING AND ACKNOWLEDGEMENT

I have read this document, and I am signing it freely. I understand the legal consequences of signing this document, including (a) releasing the Studio from all liability, (b) waiving my right to sue the Studio, (c) and assuming all risks of participating in this Activity, including any events incidental to this Activity.


MEDICAL CONSENT

If I need medical treatment as a result of my participation in this Activity, or any events incidental to this Activity, I agree to be financially responsible for any costs incurred as a result of such treatment.


PHOTO & VIDEO RELEASE

I give permission to the Studio to use photos and video taken of me at the studio, as well as photos and video of my artwork, to be used for marketing, news reporting, and on social media.

January 28, 2025

Please select who will be participating...
AdultAdult and a Minor
Continue
First Participant's Name

First 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 Signature*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive updates by e-mail.
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(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*

Last Name*
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 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!