I HEREBY CERTIFY THAT I AM THE ADULT PARENT OR GUARDIAN OF THE CHILD DESCRIBED ABOVE, A MINOR CHILD UNDER THE AGE OF EIGHTEEN YEARS, AND I CONSENT TO HIS/HER PARTICIPATION IN RECREATIONAL ACTIVITIES AT AN ART STUDIO/HOME, (REB PHOTO)(REB ART)(REB CREATIVE STUDIO) AND HIS/HER USE OF ART MATERIALS & TOOLS PROVIDED BY THE ART STUDIO INSTRUCTORS.

I UNDERSTAND AND ACKNOWLEDGE THAT I AM FULLY AWARE OF AND ASSUME THE RISKS (INCLUDING BUT NOT LIMITED TO THE RISK OF SERIOUS BODILY INJURY, PROPERTY LOSS OR DAMAGE); OF (1) SAID MINOR CHILD’S PARTICIPATION IN THE RECREATIONAL ACTIVITIES AT THE STUDIO, AND (2) HIS/HER OF THE ART MATERIALS & TOOLS. I RECOGNIZE MY RESPONSIBILITY TO ENSURE THAT SAID MINOR CHILD PARTICIPATES ONLY IN THOSE ACTIVITIES FOR WHICH HE/SHE HAS THE REQUIRED SKILLS, QUALIFICATIONS, TRAINING AND PHYSICAL CONDITIONING.

I FURTHER UNDERSTAND THA REB CREATIVE STUDIO SHALL HAVE NO RESPONSIBILITY INCLUDING FOR ANY NEGLIGENCE ON THE PART OF REB PHOTO IN ANY OF THE ACTIVITIES THAT SAID MINOR CHILD MAY PARTICIPATE IN. REB CREATIVE STUDIO WILL NOT BE RESPONSIBLE TO PAY FOR THE CHILD’S INJURIES, MEDICAL TREATMENT AND RELATED COSTS IF SAID MINOR CHILD IS INJURED. KNOWING THE RISKS DESCRIBED ABOVE, I AGREE, PERSONALLY AND ON BEHALF OF THE MINOR CHILD NAMED ABOVE, TO ASSUME ALL RISKS AND RESPONSIBILITIES SURROUNDING MY MINOR CHILD’S PARTICIPATION IN ANY ACTIVITIES , THE USE OF THE STUDIO AND THE MATERIALS/TOOL. TO THE FULLEST EXTENT ALLOWED BY THE LAW, I HOLD HARMLESS AND AGREE TO INDEMNIFY REB CREATIVE STUDIO, ITS OFFICERS, DIRECTORS, FACULTY, STAFF, VOLUNTEERS, EMPLOYEES AND AGENTS, FROM AND AGAINST ANY PRESENT OR FUTURE CLAIM, CAUSE OF ACTION, LOSS OR LIABILITY FOR INJURY TO PERSON OR PROPERTY, WHICH SAID MINOR CHILD MAY SUFFER OR FOR WHICH SAID MINOR LIABLE TO ANY OTHER PERSON, RELATED TO SAID MINOR CHILD’S PARTICIPATION IN RECREATIONAL ACTIVITIES AT THE STUDIO AND USE OF MATERIALS/ TOOLS, RESULTING FROM ANY CAUSE WHATSOEVER, AND REGARDLESS OF FAULT, INCLUDING REB PHOTO’S NEGLIGENCE, IF ANY.

I AM AT LEAST EIGHTEEN YEARS OF AGE AND HAVE CAREFULLY READ AND FREELY SIGNED THIS LIABILITY WAIVER AND RELEASE FORM (MINOR CHILD) BY WAY OF SUBMISSION FOR REGISTRATION. I UNDERSTAND AND AGREE THAT NO ORAL OR WRITTEN REPRESENTATION CAN OR WILL ALTER THE CONTENTS OF THIS DOCUMENT.