Waiver of Liability
1. I have chosen to 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 safety. These risks include but are not limited to: damage to my eyes, respiratory system, hearing, and minor burns/cuts.
3. I agree to follow all safety instruction provided by Arc + Flame Center staff or instructors. I also agree to wear safety glasses at all times while in the labs.
4. If I see any conditions that appear dangerous, I agree to notify a responsible agent of the Arc + Flame Center and remove myself from the danger immediately. I understand that I am responsible for my own safety at all times when using the Rochester Arc + Flame Center training facility and equipment.
5. I will not intentionally engage in any behavior that can injure myself or other persons
6. In case of any emergency or injury, no matter how minor, I agree to notify the instructor immediately
7. I agree to be a responsible guest of the Rochester Arc + Flame Center at all times and that I will respect the facility and equipment, and will participate in clean-up activities as requested by staff or instructors
8. I agree to not enter any restricted areas or other departments of the Rochester Arc + Flame Center without instructor permission. I also promise to not remove from the facility any property that does not belong to me.
9. I will not use any equipment that I have not received training on, nor will I use any equipment without instructor permission and supervision
10. I will not partake in any reckless activity that will put myself or others in danger. I understand this means no horseplay, no use of alcohol or illegal substances, and not operating any equipment that I feel uncomfortable using.
11. I understand that the intent of my educations is to improve my skills in various Welding, Glass, Blacksmithing and/or Jewelry processes. I understand that I am wholly responsible for injury or loss that I sustain or cause outside of Arc + Flame as a result of my 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 myself and my work at the Rochester Arc + Flame Center
By checking this box I acknowledge that I am over the age of 18, and have read and agree to all 12 points of this waiver
Name (first and last)
Emergency Contact Name and Phone Number
Class Name and Date
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This form was created inside of Rochester Arc + Flame Center.