Child Participation Waiver - Winnipeg-Kenaston

Safety Statement

The goal of Crock A Doodle Paint your own pottery is to provide people of all ages with a unique and meaningful creative experience. We know that every person and child who participates in our program(s) is unique and precious. With this in mind safety is one of our primary concerns and we can ensure that all of our materials and supplies are non-toxic and lead-free.

Waiver, Release of Liability & Agreement to Indemnify

In consideration for Crock A Doodle (CAD) allowing child/ren to participate in art classes or other activities hosted by CAD, I as the parent/legal guardian of Child/ren, do hereby agree to the following conditions:

Consent*

It is the parent/guardian’s responsibility to inform CAD of a child’s allergies in written form. CAD shall not be held liable for any allergic reactions or injuries caused by a parent/guardian’s failure to inform CAD of allergies or other medical conditions.

Consent*

I hereby unconditionally waive, indemnify and hold harmless any right I might otherwise have to recover damages or other relief from CAD and the employees/representatives of the Facilities as a result of any personal injury or property that I, my Child(ren), or any third party that I bring, or invite to CAD may suffer during the art classes or other activities hosted by CAD, including, without limitation, injury or damage arising out of acts or omissions constituting negligence or gross negligence or facts or conditions that would give rise to premises liability. I further agree to not bring any suit based in whole or in part on any claim covered by this waiver.

Consent*

I hereby RELEASE, agree to defend, indemnify and hold harmless, Crock A Doodle, employees and agents (collectively “Releasees”) from any claims, losses or expenses incurred on behalf of me, my child/ren, my child’s/ren’s family. The participant/participant’s family assumes all risk associated with participation in CAD classes and/or activities.

Contact Information

Name*

First Last

Phone*

Email*

Child/ren Participating in Program

Event Name*

EMERGENCY CONTACT INFORMATION

Emergency Contact*

Name Phone

Emergency Contact

Name Phone

Terms of Service

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