Liability Waiver

LIABILITY WAIVER

Athens | 815 W Broad St. Athens GA, 30601 | 706-850-8226
Atlanta | 533A W Howard Ave. Decatur GA, 30030 | 470-355-8305

Health and Medical
The camper’s parent/legal guardian warrants that the camper is physically fit and able to participate in the camp activities, and consents to any employee, agent, or other personnel affiliated with the TREEHOUSE kid & craft’s camp or class to seek medical attention and treatment or other measures deemed necessary or advisable. This is to the discretion or judgment of TREEHOUSE kid & craft staff for the above-named camper in the event of an accident, sudden illness, or other condition that occurs while the above-named camper is in the care or under the supervision of TREEHOUSE kid & craft staff.

The parent/legal guardian further understands that TREEHOUSE kid & craft staff will make reasonable efforts to notify the parent/legal guardian or another parent of the camper in the case of an accident, sudden illness or other condition, but authorizes TREEHOUSE kid & craft to seek such care or treatment, and for any care or treatment to be administered, even in the event that either parent or legal guardian are not contacted prior to the seeking or rendering of such, care, treatment, or other measures. The parent/legal guardian also understands that we use Athens Regional Hospital for any emergency.

The parent/legal guardian signing this form releases TREEHOUSE kid & craft, LLC and all TREEHOUSE kid & craft staff from any liability for such decisions or actions in seeking medical care, and agrees to pay all the costs and fees for the medical care or treatment authorized under this Emergency Medical Authorization.

Liability
The parent/legal guardian agrees to hold harmless TREEHOUSE kid & craft, LLC and all TREEHOUSE kid & craft staff, and the owners of any properties at TREEHOUSE kid & craft made available for camp activities from any claims, damages, losses and/or expenses arising out of participation in class or camp activities and to assume all liability for any and all personal injury, bodily injury, illness or property damage that occurs as a result of participation in such activities. The parent/legal guardian also warrants that participation in this camp is voluntary and that the camper and the parent/legal guardian understand the inherent risks involved in camp activities, and the camper agrees to obey all rules and policies mandated by camp personnel.

Childcare License Exemption
TREEHOUSE kid and craft does not hold a childcare license, nor do we need to for the type of programming we do. We do however have a legal exemption through Bright From The Start, a department of the Georgia government and follow rules and regulations.

Sign in/out policy
In efforts to provide the safest class experience here at TREEHOUSE kid & craft we have a sign in and sign out station for parents or gardians to use. Each drop off we ask that you sign in and out so we can easily manage our students and their contact information. Thank you for keeping it a safe place to be creative!

Please select who will be participating...

Minor(s)
1 Minor 2 Minors 3 Minors 4 Minors 5 Minors More Minors 6 Minors 7 Minors 8 Minors 9 Minors 10 Minors

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First Participant's Name

First Name*

Last Name*

Phone*

First Participant's Date of Birth*

First Participant's Information

Medical history: allergies & considerations

Doctor's contact information *

Photo release
We often take photos and or videos to document our classes. Do we have permission to use images of your child on our website, blog, social media outlets, or any other outlets in regards to our classes?

Photo release*

First Participant's Signature*

Type Signature

Draw Signature

Click to Sign

Second Participant's Name

First Name*

Last Name*

Second Participant's Date of Birth*

Second Participant's Information

Medical history: allergies & considerations

Doctor's contact information *

Photo release*

Third Participant's Name

First Name*

Last Name*

Third Participant's Date of Birth*

Third Participant's Information

Medical history: allergies & considerations

Doctor's contact information *

Photo release*

Fourth Participant's Name

First Name*

Last Name*

Fourth Participant's Date of Birth*

Fourth Participant's Information

Medical history: allergies & considerations

Doctor's contact information *

Photo release*

Fifth Participant's Name

First Name*

Last Name*

Fifth Participant's Date of Birth*

Fifth Participant's Information

Medical history: allergies & considerations

Doctor's contact information *

Photo release*

Sixth Participant's Name

First Name*

Last Name*

Sixth Participant's Date of Birth*

Sixth Participant's Information

Medical history: allergies & considerations

Doctor's contact information *

Photo release*

Seventh Participant's Name

First Name*

Last Name*

Seventh Participant's Date of Birth*

Seventh Participant's Information

Medical history: allergies & considerations

Doctor's contact information *

Photo release*

Eighth Participant's Name

First Name*

Last Name*

Eighth Participant's Date of Birth*

Eighth Participant's Information

Medical history: allergies & considerations

Doctor's contact information *

Photo release*

Ninth Participant's Name

First Name*

Last Name*

Ninth Participant's Date of Birth*

Ninth Participant's Information

Medical history: allergies & considerations

Doctor's contact information *

Photo release*

Tenth Participant's Name

First Name*

Last Name*

Tenth Participant's Date of Birth*

Tenth Participant's Information

Medical history: allergies & considerations

Doctor's contact information *

Photo release*

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 class information, shop news, and overall communication by e-mail.

Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*

Location

Location*

Family Info

parent(s) mobile phone *

Work phone

Is anyone else an authorized caretaker/ allowed to pick up?*

name/contact

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*

Phone*

Parent or Guardian's Date of Birth*

Parent or Guardian's Information

Medical history: allergies & considerations

Doctor's contact information *

Photo release*

Parent or Guardian's Signature*

Type Signature

Draw Signature

Click to Sign

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.

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