The undersigned, hereby authorizes the staff of Wheel Art Pottery Studio, or contracted instructor, to consent to any x-ray, examination, anesthetic, medical treatment, or special supervision, and on the advice of a physician, or surgeon licensed under the Illinois Medical Practice Act. For any injuries or Illnesses, Wheel Art Pottery Studio will attempt to contact my emergency contact before I am treated at any medical office, unless such treatment is so urgent, it must be done, before contact is made. If I cannot be reached, this authorization is effective.
We will do everything possible to make this experience safe and enjoyable. Wheel Art Pottery Studio cannot, however, eliminate all possible risks inherent in these activities, whether from the physical condition of the participant, forces of nature, or conduct of our staff and other students. Possible risks include, but are not limited to accident/and or sickness, without readily available medical facilities. I hereby assume all of the risks involved and agree to indemnify and hold harmless Wheel Art Pottery Studio and its employees, from any and all liability that may arise in connection with my participation in the activities at Wheel Art Pottery Studio, and any other areas visited during the course in which I am enrolled. In case of an accident or illness, I will bear the cost of any evacuation procedures and medical care. I understand that I must provide my own health insurance and agree to assume any financial responsibility for my care. *