Paint Responsibly Registration - Minor
Parent or Legal Guardian: Fill out this form completely and submit Payment to secure a spot at this event
Email address *
Name (of Minor Child under the age of 18) *
Your answer
Phone Number *
Your answer
Parental Waiver & Release
As the parent or legal guardian of the child named above, I hereby give my full consent and
approval for my child to participate in the event listed below. I understand that there are
certain risks of injury inherent in this event and am aware that alcohol will be present. I am
willing to assume these risks on behalf of my child.
In addition to giving my full consent for my child’s participation, I do hereby waive, release
and hold harmless the Tevakanui, its owners and instructors for any injury that may be
suffered by my child in the normal course of participation in the designated event incidental
thereto, whether the result of negligence or any other cause.
*
Required
Legal Name *
Your answer
Release of Liability, Waiver of Claims, Assumption of Risk and Indemnity
On behalf of myself, my personal representatives, heirs, next-of-kin, spouse and assigns,
I acknowledge that I hereby give up certain legal rights when I register for a class or
event which includes the right to recover damages to personal property, bodily injury,
and any projects left at the studio in exchange for the consideration of participating in
the class and using the tools and equipment provided to me as part of the class.

Furthermore, I HEREBY:
1. Release Tevakanui from any loss, liability, damage, injury or cost that may arise
out of my use of art materials, tools or equipment at 2018 Paint Responsibly and
I voluntarily assume the risk and danger of injury using such art materials, tools
and equipment.
2. Release, discharge and promise not to sue Tavakanui under its own name or any
other name and/or any of its owners, officers, employees, instructors, and agents
(hereinafter, “Releasees”) for any loss, liability damage or cost whatsoever
arising out of or related to my person or property.
3. Release Releasees from any claim that such Releasees are or may be negligent in
connection with my educational experience, including but not limited to
instruction on art making/working techniques, transportation to and from
activities, and maintenance or care of tools, equipment and supplies.
4. Indemnify and hold harmless Releasees for any loss, liability, damage, injury or
cost that may arise out of or in any way connected with my use of art tools and
equipment provided or any acts or omission of Releasees, or other employees or
agents.
5. Agree to abide by and follow instructions and rules established by Tevakanui, or
any of its instructors, agents, or employees, with regard to safety operations in
using working tools or other artistic equipment. This includes slippery surfaces
from paint clean-up, etc.
6. Understand that as a “paint and sip” location with a BYOB license under the
State Liquor Board of Nevada, if I am of legal drinking age (21), I may bring my
own unopened container of wine or beer to 2018 Paint Responsibly night. I
acknowledge that Tevakanui is not a party facility, but is a studio that allows its
participants to BYOB while they learn to paint. I will consume alcohol that I
bring responsibly, and have been encouraged to take a taxi or carpool if I will be
drinking alcohol, and I assume all risk for my actions while under the influence
of alcohol. I understand that if there are any concerns about my ability to operate
a motor vehicle upon leaving Tevakanui, any agent of the studio may call the
local police department to conduct a wellness check on my behalf, but does not
have an obligation to do so. I understand that I cannot remove an open container
of alcohol from the premises and must leave opened bottles behind for disposal.
7. Acknowledge that this document is a contract and agree that if a lawsuit is filed
against Tevakanui or its owners, agents, employees or instructors for any injury
or damage in breach of this contract, the undersigned will pay all attorney fees
and costs incurred by Tavakanui in defending such action. The registrant or
guardian expressly agrees that the foregoing release and waiver of liability,
assumption of risk, and indemnity is governed by the State of Nevada and
intended to be as broad and inclusive as is permitted by Nevada law, and that in
the event any portion of this Agreement is determined to be invalid, illegal or
unenforceable, the validity, legality and enforceability of the balance of the
agreement shall not be affected or impaired in any way and shall continue in full
legal force and effect.
8. Understand that Tevakanui may take photographs and/or video during class and
also will take a group photo of participants and their paintings at the end of class,
and may be shared on Facebook and/or Instagram. I understand that if I wish to
be exempt from this, I need to speak with a member of Tevakanui staff and make
my wishes known in writing.

Agreement (required) *
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Legal Name *
Your answer
Payment is Requred *
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Registration is not complete without Payment
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2. ENTER YOUR NAME IN THE WHITE BOX BELOW
(SO WE CAN MATCH YOUR PAYMENT TO THIS APPLICATION)

3. CLICK ON THE PAY NOW BUTTON

A copy of your responses will be emailed to the address you provided.
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