Miss Skyler’s LLC Tiny Scientists Enrichment Program Liability Waiver
Must be read and signed before attending 1st session. Thank you!
1.
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2.

Release of Liability

I, ______________, the parent or legal guardian of the named participant, hereby acknowledge, understand, and agree to the following

Sign & date below: *
3.
Assumption of Risk:

I understand that participation in the Tiny Scientist program involves activities that may include but are not limited to hands-on experiments, group projects, and other physical activities. I assume all risks associated with my child’s participation, including injury, illness, or damage to personal property.

Initial & date below:
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4.
Release of Liability:

I agree to release, waive, and discharge the Miss Skyler’s Tiny Scientists program, its organizers, employees, volunteers, and representatives, as well as The Boom Room and its owners, employees, and affiliates, from any and all liability, claims, demands, actions, or causes of action arising out of or related to any loss, damage, or injury, including death, that may be sustained by my child while participating in the program or while on the premises.

Initial & date below:
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5.

Medical Authorization:

In the event of a medical emergency, I authorize the program staff to seek emergency medical care for my child. I understand that I am financially responsible for any medical treatment provided.

Initial & date below:

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6.

Indemnification:

I agree to indemnify and hold harmless Miss Skyler’s Tiny Scientists program, its organizers, employees, volunteers, and representatives, as well as The Boom Room, from any liability, loss, damage, or expense, including attorney’s fees, arising from my child’s participation in the program.


Initial and date below:

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7.

Photography/Media Release (Optional):

Check all that apply.
I DO grant permission for my child’s image to be used in program promotional materials, including photos or videos.
I DO NOT grant permission for my child’s image to be used in program promotional materials.
8.
Acknowledgment of Understanding:

I have read this waiver of liability and fully understand its terms. I acknowledge that I am signing this agreement freely and voluntarily, and I intend my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law. 

Initial and Date below:
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