Hot Shop Workshop Student Release from Liability Waiver
Please read carefully. A printable PDF version can be found here: https://drive.google.com/file/d/1as9WY_0xF93u86-qCVjSlQNs0Bu-paCx/view?usp=sharing
Email address *
First Name
Your answer
Last Name
Your answer
Phone #
Your answer
Address
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Suite/Apt #
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City
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State
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Zip
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Phone
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Emergency Contact Name + Phone Number
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Allergies or Health Concerns? Please list. Glassblowing can be dangerous!
Your answer
I understand that as a participant or volunteer through The Olio, Inc., I may be involved in physical activities, including but not limited to glass blowing, that are dangerous and involve risks of serious injury including but not limited to serious burns and cuts, heat stroke, and silicosis. I also understand and acknowledge that these risks and dangers may be caused by my own actions or inactions, the actions or inactions of others participating in the activities, the condition or layout of the premises and equipment, or the negligence of others, including those persons responsible for conducting the events. *
Required
I will inspect the premises and equipment and if, at any time, I feel anything to be unsafe, will immediately leave and refuse to participate further in the activity. *
Required
I agree that I will only perform activities that I am comfortable doing and I will follow all instructions. *
Required
I understand that I may be asked to leave if I am not following instructions or my behavior is a safety concern. *
Required
I hereby release and discharge The Olio, Inc., its community service partners, officers, directors, employees, agents and volunteers from any claim, demand or cause of action that may be asserted by or on behalf of me as a result of any activity related to my involvement with The Olio, Inc. I EXPRESSLY ASSUME THE RISK OF THE AFOREMENTIONED ACTIVITIES and agree to indemnify and hold harmless The Olio, Inc., its community service partners, officers, directors, employees, agents and volunteers from any damages or liabilities arising out of my activities through The Olio, Inc. *
Required
I understand that absolutely NO drug or alcohol use will be tolerated in the hot shop, suspicion is grounds for immediate removal from the hot shop premises *
Required
I understand I should come prepared to participate in the hot shop wearing: *
Required
I grant The Olio, Inc. the irrevocable right to use photographs and video or audio recordings of me made while at The Olio, in any medium, without pay. *
Required
I am 18 years of age or older *
Required
Parent/Guardian Name (if student is under age 18)
Your answer
I hereby acknowledge that I have read, understand, and consent to each of the foregoing terms. I further acknowledge that I believe my above signed child or dependent, as the case may be, is qualified to participate in the activities conducted at The Olio, Inc., including but not limited to operating tools and machinery related to glass blowing as described above: *
Required
By Clicking Submit I confirm the above *
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