Brooklyn Sewcial Inc
Brooklyn Sewcial offers a nurturing and safe environment where students can be creative and have fun. We encourage our students to explore and experience the process of sewing, pottery and modern crafting.
Waiver and Release of All Claims and Assumption of Risk
Please read carefully before signing.
In consideration of being allowed to participate in any way in the program, related events and activities, and use of equipment, I, on my own behalf and on behalf of those minor children listed below, acknowledge, understand and agree:
1. That there is a risk of injury, including significant injury, from the activities involved in this program. I FREELY ASSUME ALL SUCH RISKS, both known and unknown, and assume full responsibility for my participation.
2. To comply with terms and conditions for participation. If I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately.
3. To HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS NOBLE TILE & VESSEL INC, including all of its owners, employees, representatives, agents, suppliers, vendors and other participants or guests, and the owners and lessors of the premises used to conduct the program (collectively, the “RELEASEES”), from any and all claims, demands, damages, losses and liability arising out of or related to any INJURY, DISABILITY OR DEATH I may suffer, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
Participant Name Printed ________________________________________________________________________________
Parent/Guardian Name Printed __________________________________________________________________________
Parent/Guardian Signature _________________________________________Date ________________________________
87 19th Street, Brooklyn, NY, 11232 | http://www.brooklynsewcial.com/
Alexa: 516.512.2805 | E-Mail: BrooklynSewcial@gmail.com
Student Registration
Brooklyn Sewcial offers a nurturing and safe environment where students can be creative and have fun. We encourage our students to explore and experience the process of sewing, pottery and modern crafting.
Student name:_____________________________________ Age:_____________ Birthday: _________________________
Parents name: ____________________________________ Home Number:_______________________________________
Cell Number:_____________________________________ Email:_________________________________________________
Week of Interest: __________________________________ Second Choice: ______________________________________
Emergency Contact: _______________________________ Relationship to student:_____________________________
Phone:_______________________________________________
Other Pick-up:_______________________________________ Phone:______________________________________________
Pediatrician Name: __________________________________ Phone: _____________________________________________
Allergies: __________________________________________________________________________________________________
Special Notes: _____________________________________________________________________________________________
Any Special Requests (projects, or other): ________________________________________________________________
_____________________________________________________________________________________________________________
Do you consent to photos being taken of your child during class: Yes_____ No______
Do you consent to use of these photos being used on social media, and for promotional use? Yes___No___ Initial ___________________ X
Name of Guardian ______________________________________ Date _______________________________
Signature of Guardian ________________________________________________
87 19th Street, Brooklyn, NY, 11232 | http://www.brooklynsewcial.com/
Alexa: 516.512.2805 | E-Mail: BrooklynSewcial@gmail.com