Loading...

RELEASE OF LIABILITY AND ASSUMPTION OF RISK

In consideration of receiving permission from the Minnetonka Center for the Arts (the “Art Center”) to use its equipment or facilities or to engage or participate in or receive the benefit of any instruction or observation (“Activity”) whether such Activity is organized by the Art Center or not, the undersigned User, for myself, my personal representatives, my heirs and assigns, acknowledges that I understand the nature of such Activity and that I am qualified, in good health, and in proper physical condition to participate in the Activity.  

I fully understand that the Activity may involve risk of bodily injury and exposure to and illness from infectious diseases, whether caused by my own actions, the actions of others, the conditions in which the Activity takes place, or the actions, inactions or negligence of the Art Center, its directors, officers, employees, agents, volunteers and other participants (collectively, the “Releasees”). 

With this knowledge, I hereby I assume all of the foregoing risks and accept sole responsibility for any injury to myself, including, but not limited to, personal injury, disability, death, illness, damage, loss, claim, liability, or expense of any kind that I may experience or incur in connection with my participation in any Activity, and release, discharge and hold harmless the Releasees from any and all claims or causes of action, both known and unknown, arising out of any conditions, actions, inactions or negligence, including negligent rescue operations and from any loss, liability, damages, costs, expenses or other harm which I may incur as a result of or in connection with such claims or causes of action (“Claims”).

I hereby release, covenant not to sue, discharge, and hold harmless the Releasees of and from any Claims. I voluntarily give up and waive any right that I may have to bring a legal action against any Releasee for any Claims. I further understand that in the event of injury, all losses, costs, damages, or expenses incurred by me must be paid by me or my personal insurance company.

By signing below, I indicate that I have read this agreement and fully understand the terms and agree to comply therewith. I understand that I have given up substantial rights by signing this agreement and I intend this agreement to be a complete and unconditional release from all liability to the greatest extent allowed by law and agree that should any portion of this agreement be held invalid, the balance shall continue to be in full force and effect.

If the participant in the Activity is a minor, this agreement has been signed by the Parent or Legal Guardian, who represents that they have the ability and authority to give this waiver on behalf of the minor child, and that the child meets the physical requirements of the Activity.  

     


Session
Please indicate which session you are registering for: *
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 Signature*
Second Participant's Name

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive class updates and information, and a signed copy of this waiver by email
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 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!