WAIVER AND RELEASE AGREEMENT
Please initial each statement after reading:
_________The undersigned hereby acknowledges that there are dangers inherent in glassblowing, glass working, and other related activities and therefore agrees to participate in safety instruction before the class begins.
_________ I understand that Blazing Paddles Studio LLC and its employees have the right to dismiss the undersigned from participation in class, without refund, due to any of the following:
Behaving erratically around dangerous materials
Blatant disregard for adhering to safety regulations
Showing signs of being under the influence of any drugs or alcohol
_________I understand that glassblowing, glass working, and its related activities involve working in close proximity to a furnace, which generates a high level of heat and emits potentially harmful vapors, which are not visible to the participant. The risks associated with glassblowing, glass working, and its related activities thus include, without limitation, physical effort, cuts, burns, inhalation of hazardous substances, and exposure to radiation.
_________In exchange for being allowed to participate in glassblowing, glass working, and other related activities, the undersigned hereby assumes full and sole responsibility for the risk of personal injury, death, and property damage resulting from all such activities, including all risk of injury, death or property damage resulting from the negligence or fault of the parties released by this Agreement or due to the condition of the equipment or the premises upon which the activities will take place.
_________I give permission to have my photograph taken during a class for marketing purposes. On my own behalf and on behalf of my heirs, personal representatives, and assigns.
_________On behalf of myself, my heirs and assigns, I hereby release and agree to forever hold harmless and never take legal action against Jamie Leigh Adams and Bryan Michael Beck, jointly and individually, Blazing Paddles Studio LLC, as well as each of their respective employees, agents, officers, directors, members, managers, partners, contractors, and volunteers, and the owner of any premises upon which participation in glassblowing, glass working, and other related activities takes place (collectively, the “Released Parties”) of and from all claims, demands, actions, rights of action, or other legal rights to claim compensation for any loss, injury or property damage that I may sustain as a result of my participating in glassblowing, glass working, and other related activities, regardless of whether such loss, injury or property damage is caused by the negligence of the Released Parties or any condition of the premises where such activities occur, and regardless of whether such loss, injury or property damage occurs while participating in, going to, or coming from such activity.
_________This Agreement contains and embodies the entire agreement and understandings between the parties concerning the subject matter hereof.
YOUR SIGNATURE BELOW INDICATES THAT YOU HAVE READ AND AGREE TO THE ABOVE.
Signature:_________________________________________________ Date:______________ Address: ____________________________________Zip___________ Phone:______________ Print name:_________________________________ Age: _______ Email:____________________ If participant is under the age of 18, parent or guardian must sign as well. Signature:_________________________________________________ Date:______________ Print name:________________________________________________