AEGIR HYBRID SKATE + ART WAIVER

Name of Participant *

First Name

Last Name

Participant Date of Birth *

MM

DD

YYYY

Name of Legal Guardian *

First Name

Last Name

Emergency + Contact Phone *

(###)

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PICK UP Name *

Please add here who is picking up your child along with a contact phone number

First Name

Last Name

PICK UP Phone *

(###)

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LIABILITY WAIVER

By registering for this program , I AGREE & ATTEST to all the following, on behalf of myself named herein as a participant in this program or any minor participant (s) mentioned herein that I represent and am legally responsible for.

I am aware of the risk of Covid-19 associated with participating in any in-person experience, including all Creatively Wild Art Classes & Programs I will NOT attend this program mentioned herein if I am currently experiencing symptoms of fever, fatigue, difficulty breathing, or dry cough or exhibiting any other symptoms relating to COVID-19 or any communicable disease, or have experienced/exhibited any of these symptoms within 14 days of this event.

I AGREE NOT TO ATTEND this program if I as participant or any minor participant(s) mentioned herein , or any member(s) of my household, have been diagnosed with COVID-19 within 14 days of this program.

I CERTIFY the information that I have entered herein to be accurate and true. I am at least 18 years old and I have read and agree to the terms of this agreement.

I AGREE on behalf of myself as the participant or participants named herein to agree to hold harmless, release, waive and indemnify Creatively Wild Art Studio LLC, its members, employees, agents, successors and assigns to any & all injuries, illness, medical conditions, claims, liabilities, damages, expenses or judgments from participation in any and all Creatively WILD's programming and/or activities, including use of the area(s) and/or equipment, participation in a class or program at Creatively WILD Art Studio LLC Any defense, cost or expense arising out of any and all claims, injuries, liabilities or damages arising out of or related to participation in any and all of our programming, as set forth, including attorneys' fees

TERMS OF AGREEMENT *

I CERTIFY that I am the parent or legal guardian of the above minor(s) mentioned herein & confirm that the information I have entered herein is accurate and true.

I AGREE that the participant named above and I shall comply with all of Creatively WILD's terms, signs, rules and written & verbal instructions of CWAS staff as conditions for entry and participation into any Class, including the Rules of CWAS & Safety Restrictions set forth

I agree that the participant(s) named above and I shall comply with all of Creatively WILD's terms, signs, rules and written & verbal instructions of CWAS staff as conditiBy signing this Agreement, I expressly agree on behalf of myself and the participant(s) named below that we understand and agree to comply with the Rules of Creatively WILD Art Studio listed on our website. I, on behalf of myself and the participant(s) named here, our heirs, assigns, representatives, and next of kin, agree to hold harmless, release, waive and indemnify Creatively WILD Art Studio LLC, its members, employees, agents, successors and assigns from (A) Any & all injuries, illness, medical conditions, claims, liabilities, damages, expenses or judgments from participation in any and all Creatively WILD's programming and/or activities, including use of the area(s), play/climbing structure(s) and/or equipment, participation in a class, program or event offered at Creatively WILD (B) Any defense, cost or expense arising out of any and all claims, injuries, liabilities or damages arising out of or related to participation in any and all of our programming, as set forth, including attorneys' fees.

PHOTO POLICY *

I understand that CWAS might take photographs or videos of art work or work in progress at the studio during classes which may/ or may not be used for publicity purposes. These photos may be published to our social media pages or platforms &/or website, &/or may be posted on other promotional materials or in other promotional media. NO STUDENT will ever be identified in these photographs, no student or student's work will ever be tagged or named/ identified in any photo without their consent. Please note we archive all our work that is created at our studio, so we take photos for these purposes also. After class, when a project is completed, sometimes we will gather everyone for a group photo, if you do not wish your child to be involved please state this clearly in the special notes section of this form.All photographs are the property of CWAS and we do not allow these photos to be published by third party or by any other media or source. We value & are protective of our students always and their interests & privacy.

I AGREE

PERSONAL BELONGINGS SNACKS + DRINKS *

We are a NUT FREE studio please do NOT bring any nut products to our studio. Please do NOT share any of your belongings OR Food, Snacks or Drinks with any other student or staff member. Please brief your children as to what is expected of them

I AGREE

LATE PICK UP *

Please note if you intend on being late to pick up your child or your caregiver is we require EXTRA PAYMENT for extended day $25. Please go to our website and pay the fee at time of registration and email us

I UNDERSTAND + AGREE

Cancellation + Rescheduling *

Our Cancelation + rescheduling policy is listed on our website. WE DO NOT OFFER make ups or refunds on any camp dates as spots are limited and booked in advance. If you cancel with AEGIR, you will still be expected to pay the CWAS CAMP FEE

I UNDERSTAND + AGREE

HEALTH + SAFETY *

NON-ESSENTIAL ITEMS Please do not bring any non-essential items to our studio like extra clothing, bags, toys, scooters, or bicycles! CREATIVELY WILD IS A NUT-FREE STUDIO.

I AGREE