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CLASS/WORKSHOP PARTICIPATION WAIVER

I am 18 years old or over, and I want to participate in a workshop at The Furnace Inc—or, where the participant(s) is/are under age 18, I am the parent/legal guardian of the participant(s) and sign this waiver in that capacity. By signing I take full responsibility for my own/my legal dependent’s actions and any accidental injury that I/my legal dependent(s) may experience in the course of my/our relationship with The Furnace Inc.

I am aware that glassblowing involves certain inherent risks, dangers, and hazards and I am voluntarily participating in these activities with knowledge of the risks of bodily injury or death involved, both expected and unexpected, and hereby agree to accept any and all risks of loss or injury or wrongful death. In return for the benefits I will receive from participation, I agree not to make any claim for loss or damage to personal property, bodily injury, or wrongful death and I agree not to sue and hereby release and agree to hold harmless The Furnace Inc. from any and all liability and responsibility for any loss or injury or wrongful death connected with my participation in the activity except from loss or injury caused intentionally or by willful misconduct.

This release is intended to protect The Furnace Inc. and my instructor from claims of negligence (the failure to use reasonable care). However, it is not intended to exempt them from responsibility for their willful or intentional injury to the person or property of another.

I am aware that the presence or use of alcohol and illegal substances are strictly prohibited anywhere on The Furnace Inc.’s premises, and that The Furnace Inc. reserves the right to refuse admittance or service to any customer whose appearance, odor or behavior indicates that they, in The Furnace Inc.’s sole judgement, may be under the influence of alcohol or illegal substances. Such persons will be removed from the premises without a refund. I am also aware that smoking is strictly prohibited anywhere inside the premises.

PERMISSION TO USE IMAGES AND OTHER MEDIA
The undersigned also grants The Furnace Inc and any third party authorized by The Furnace Inc the right to film, videotape, photograph, record, and/or make any reproductions of me or my minor child’s likeness and voice that are captured within the open and public areas of the Studio. The undersigned further grants The Furnace Inc the right to use and display such likeness in any media including but not limited to television, cable, radio or internet, or any published article without giving compensation, attribution, or notice to the participant.

I have carefully read this agreement and fully understand its contents. I am aware that this is a release of liability, hold harmless agreement, and assumption of risk agreement and that it is a legally binding contract between me and all parties listed. I further understand that this release is binding on my heirs or anyone making a claim in my name. I sign of my own free will.

Today's Date: September 8, 2024

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*
Second Participant's Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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


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