GUIDELINES TO READ BEFORE REGISTERING (REGISTRATION FORM DIRECTLY BELOW):
IMPORTANT: PLEASE DO NOT RESERVE SPACES, USE THIS FORM ONLY IF ATTENDEES ARE CONFIRMED.
FILLING OUT FORM- Registration deadline is Thursday, March 23, 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.- Youths aged through 17 years old must be accompanied by adults.- We require one adult guardian per 5 youths.
LIABILITY-This is an informal community program, therefore Newark Center for Meditative Culture (NCMC), The Medicine Lifestyle, Rabbit Hole Urban Farm Newark, Branch Brook Park, the Essex County Park system, 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.
DONATIONS- This program is free. We do welcome donations from adults in order to support our teachers and venue providers.- Cash donations can be given either at check-in or check-out of program.- Your generosity is how we keep our programs happening so please consider a "pay it forward" donation no matter how small it's big!
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 0 years through 17 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.