Waiver of Liability for Guardians & Student
1. I acknowledge that my child will partake in Welding, Glass, Blacksmithing and/or Jewelry classes at the Rochester Arc + Flame Center

2. I understand that there are inherent dangers in Welding, Glass, Blacksmithing and/or Jewelry and I accept the risks to my child's safety. These risks include but are not limited to: damage to my eyes, respiratory system, hearing, and minor burns/cuts.

3. I agree that my child will follow all safety instruction provided by Arc + Flame Center staff or instructors

4. I will acknowledge to my child that if they see any conditions that appear dangerous, they will notify a responsible agent of the Arc + Flame Center and remove themselves from the danger immediately. I understand that my child is responsible for their own safety at all times when using the Rochester Arc + Flame Center training facility and equipment.

5. In case of any emergency or injury, no matter how minor, I agree that my child will notify the instructor immediately

6. I agree that my child will be a responsible guest of the Rochester Arc + Flame Center at all times. My child will respect the facility and equipment, and will participate in clean-up activities as requested by staff or instructors

7. I agree that my child will not enter any restricted areas or other departments of the Rochester Arc + Flame Center without instructor permission. I also promise my child will not remove from the facility any property that does not belong to them.

8. My child will not use any equipment that they have not received training on, nor will they use any equipment without instructor permission and supervision

9. My child will not partake in any reckless activity that will put them or others in danger. I understand this means no horseplay, no use of alcohol or illegal substances, and not operating any equipment that they feel uncomfortable using.

11. I understand that the intent of my child's education is to improve their skills in various Welding, Glass, Blacksmithing and/or Jewelry processes. I understand that my child is wholly responsible for injury or loss sustained or caused outside of Arc + Flame as a result of their training, and that I will hold harmless the Rochester Arc + Flame Center and any of its agents.

12. I agree to release the use of images containing my child and their work at the Rochester Arc + Flame Center
Guardian Acknowledgement *
Required
Date *
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Guardian's Name (first and last) *
Phone Number *
Email *
Student's Name (first and last) *
Student's Age *
Class Name and Date *
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