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WAIVER AND RELEASE AGREEMENT

I realize that there are dangers inherent in glassblowing, glass working, and other related activities, and that mortal or serious personal injuries and property damage, including (but not limited to) physical effort, cuts, burns, inhalation of hazardous substances, and/or exposure to visible and invisible radiation, may occur from my participation in such activities.

I assume full responsibility for the risk of personal injury, death, and property damage due to the negligence and/or fault of the parties released by this document, and/or due to the condition of the premises on which the activities will take place, whether such negligence, fault, and/or condition of the premises is present at the signing of this agreement or takes place in the future.

On my own behalf and on behalf of my heirs, personal representatives, and assigns, I hereby release East Falls Glassworks., and all of their officers, directors, members, managers, partners, employees, and volunteers (collectively, “the parties released by this document”) from all claims, demands, actions, rights of action, or other legal rights to claim compensation for any loss or injury which I may sustain as a result of their negligence or fault, or the condition of the premises, or any other cause whatsoever, whether loss or injury occurs while participating in, going to, or coming from such activity. However, this waiver and release does not apply to gross negligence or intentional torts by the parties released by this document.

Further, I agree to indemnify and hold all parties released by this document harmless from any such claims or demands. I expressly agree that this waiver and release agreement is intended to be as broad and inclusive as permitted by the Laws of the State of Pennsylvania and of any other state wherein such activities may occur, and that if any portion hereof is held invalid, the remainder hereof shall continue in full force and effect.

I expressly agree that this waiver and release agreement is intended to be as broad and inclusive as permitted by the Laws of the State of Pennsylvania and of any other state wherein such activities may occur, and that if any portion hereof is held invalid, the remainder hereof shall continue in full force and effect.

This Agreement contains and embodies the entire agreement and understandings between the parties concerning the subject matter hereof.

YOUR SIGNATURE INDICATES THAT YOU HAVE READ AND AGREE TO THE ABOVE.

Today's date: May 6, 2025

 

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Experience
Please select one: *
This is my first time working in a glass shop
I've worked with glass before, but require supervision
I am experienced in a glass studio and feel comfortable working on my own.
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Experience
Please select one: *
This is my first time working in a glass shop
I've worked with glass before, but require supervision
I am experienced in a glass studio and feel comfortable working on my own.
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Experience
Please select one: *
This is my first time working in a glass shop
I've worked with glass before, but require supervision
I am experienced in a glass studio and feel comfortable working on my own.
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Experience
Please select one: *
This is my first time working in a glass shop
I've worked with glass before, but require supervision
I am experienced in a glass studio and feel comfortable working on my own.
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Experience
Please select one: *
This is my first time working in a glass shop
I've worked with glass before, but require supervision
I am experienced in a glass studio and feel comfortable working on my own.
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Experience
Please select one: *
This is my first time working in a glass shop
I've worked with glass before, but require supervision
I am experienced in a glass studio and feel comfortable working on my own.
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Experience
Please select one: *
This is my first time working in a glass shop
I've worked with glass before, but require supervision
I am experienced in a glass studio and feel comfortable working on my own.
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Experience
Please select one: *
This is my first time working in a glass shop
I've worked with glass before, but require supervision
I am experienced in a glass studio and feel comfortable working on my own.
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Experience
Please select one: *
This is my first time working in a glass shop
I've worked with glass before, but require supervision
I am experienced in a glass studio and feel comfortable working on my own.
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Experience
Please select one: *
This is my first time working in a glass shop
I've worked with glass before, but require supervision
I am experienced in a glass studio and feel comfortable working on my own.
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*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Experience
Please select one: *
This is my first time working in a glass shop
I've worked with glass before, but require supervision
I am experienced in a glass studio and feel comfortable working on my own.
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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