LOCATION: Rabbit Hole Urban Farm, 36-38 Rose Terrace, Newark, NJ 07102RAIN LOCATION:Rutgers University classroom TBD in NewarkCHECK-IN: 9:45amPROGRAM DURATION: 10:00am-2:00pm
GUIDELINES TO READ BEFORE REGISTERING (REGISTRATION FORM DIRECTLY BELOW):
IMPORTANT: PLEASE DO NOT RESERVE SPACES, USE THIS FORM ONLY IF ATTENDEES ARE CONFIRMED.
ADULTS SHOULD FILL OUT FORM FOR MINORS:- Registration deadline is Thursday, April 20, 2017.- Please fill out one form for each adult attending. - If you are a guardian/parent bringing up to 5 youth(s), you can use this same form to register the youths. - To register other adults, you will be prompted by a pop-up window to enter a new form after completing this one.
WHO CAN ATTEND- Live in urban Greater Newark Area.- Kids aged 5-11 (kids 5-7 must be chaperoned)- Teens aged 12-18- We require at least one adult guardian per 5 youths.
LIABILITY- This is an informal community program, therefore Newark Center for Meditative Culture (NCMC), 4-H Youth Development Program of Essex/Hudson Counties at Rutgers, Rabbit Hole Urban Farm Newark, and any of the individuals associated with this program will NOT BE HELD RESPONSIBLE for any injuries or loss of personal property. - Please read the Liability Waiver at the bottom of this Registration Form prior to signing.
TIME- Please arrive by 9:45am to check-in.- To get the most out of the program, all participants are encouraged to stay for the duration of the workshop (10:00am - 2:00pm) and expected to stay no less than three hours. If you anticipate a late arrival or leaving early please fill in this information on the form as indicated.
DONATIONS- This workshop is free, though we welcome donations. Your generosity helps to gift the teachers and cover any expenses incurred for this program.
INFORMATION- You will hear from NCMC a few days before the workshop with final details.- You are also welcome to ask us any questions you might have beforehand. Email below. - We do not share any of your personal information.
CANCELLATION- We ask that you please cancel if for some reason you cannot attend. This helps us with our plans for food, other provisions, and concern about your whereabouts!
EMAIL: Contact us at firstname.lastname@example.org.
PARENT GUARDIAN WAIVER FOR MINORS (aged 5 years through 18 years old): The undersigned parent and natural guardian, legal guardian, or chaperone does hereby represent that he/she is, in fact, acting in such capacity and agrees to release, save and hold harmless and indemnify each and all of the Entities and Persons from all liability, loss, cost, claim or damage whatsoever which may be imposed upon said Entities and Persons because of any defect in or lack of such capacity to so act.
CHAPERONES: Each adult chaperoning youths agrees that they have received explicit permission from the parent or legal guardian of each youth with the parent's or legal guardian's understanding and approval of the above terms of liability.
ASSUMPTION OF RISKS: By checking the box below and adding my electronic signature, I acknowledge that I have read the above Liability Waiver statement and I understand its content. I hereby assume all risks of participating and/or volunteering in the above mentioned program and take full responsibility for my own and my minor-aged ward’s (if any) personal safety and personal property while attending an NCMC event.