FS Event Attendance & Release Form

Academy of Art of Highland Park & Gallery, Inc.

(AAHP)

727 Raritan Avenue, Highland Park, NJ 08904 USA
aahpnj.com (732) 359-4450

Event Attendance Form
ATTENTION! IMPORTANT SAFETY MATTER!

You must be 18 years of age or older to sign and submit this form.

All adults present on the day of an event must also complete and sign a release form.

Our activities cannot support unaccompanied minors.

Help us ensure that you and the staff of the AAHP can contact each other readily during an urgency or emergency while we are out in the field. Please have academy phone numbers in your contacts.

You may list multiple names on one form for the same event. All participants and their representatives or legal guardians are subject to the AAHP’s Terms of Use (ToU), available on the AAHP website.
Event Title*
Event Date*

MonthDayYear
Name of Adult Responsible for Registration*

First NameLast Name
Please select the applicable option*

I am registering myself onlyI am registering (a) family member/sI am registering myself and other family members
Total Number of Participants (including yourself if you are attending)*
If you, as the adult responsible for registration, are participating, please enter your name in the first field below. If you are only registering others, do not list yourself.
Participant 1 Name*

First NameLast Name
Participant 2 Name*

First NameLast Name
Participant 3 Name*

First NameLast Name
Participant 4 Name*

First NameLast Name
Participant 5 Name*

First NameLast Name
Participant 6 Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
Home Phone Number*
Cell Phone Number*
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone*
Other Questions or Comments?
To complete your registration, please complete the AAHP Release Form on the next page. Your registration cannot be completed without it.
Signature (type your name)*

Academy of Art of Highland Park & Gallery, Inc. (AAHP)

727 Raritan Avenue, Highland Park, NJ 08904 USA
aahpnj.com (732) 359-4450

Release Form
The Academy of Art of Highland Park & Gallery, Inc., (AAHP), its staff and representatives, have done due diligence to ensure that your learning and aesthetic experiences with us are safe, comfortable and worthwhile.

Be advised that no organized activities are risk-free. The same elements that contribute to the unique character and excitement defining any event or activity, such as physical exertion, or being amidst large groups of people, can also cause loss and/or damage to private property, as well as injury, illness, or in extreme cases, temporary trauma, long-term trauma, or death. This declaration is not meant to discourage you from participating, but to inform you that participation always does involve possible risks, both known and unknown, and that you must assume these risks voluntarily in order to participate in AAHP events and activities.

In order to participate in AAHP activities and events, please carefully review this form, sign it, and submit it along with your event registration. Failure to register does not invalidate this form. This form must be completed by a competent adult, age 18 or older. The AAHP cannot allow you to participate in its events and activities if you do not complete and submit this release form. If you are under age 18, you must have your legal guardian complete and submit this release form on your behalf. Thank you.
Your name*

First NameLast Name
Please select the applicable option*

I am representing myself onlyI am representing a minor/minorsI am representing myself *and* a minor/minors
If you are signing this release form on behalf of any minor(s) (under age 18), please print their name(s) below. By printing their name(s) below, you attest that you are their legal guardian.
Minor 1 name

First NameLast Name
Minor 2 name

First NameLast Name
Minor 3 name

First NameLast Name
Minor 4 name

First NameLast Name
Minor 5 name

First NameLast Name
Minor 6 name

First NameLast Name
Disclosure of Medical Information

In the case of a potential or actual medical urgency or emergency, please list any matters that you would want the AAHP to release to first responders, and/or to other health care workers.
Please list any allergies for each participant. If there are no allergies within your entire group, write none. Otherwise specify who has which allergies.*
Please list any required medications for each participant. Please specify who each medication pertains to.*
Does anyone wear contact lenses? If yes, please list who.*
Is there any other important health/medical information for anyone in your group? Please specify for each person.*
Final Signature
I, First Last* (please type your name)
UNDERSTAND AND AGREE TO THE FOLLOWING:

(1) That all events and activities presented by the AAHP in part, or in whole, can carry inherent risks, dangers, and hazards.

(2) That my participation in AAHP-related events and activities, and/or the participation of my guardianship relations, as named above, may result in injury or illness, including, but not limited to, disease, bodily injury (such as strains, fractures, partial and/or total paralysis, etc.) and other ailments that could result in serious and/or permanent disability, and/or death.

(3) That such risks and dangers can arise due to any number of causes, including the deliberate or unwitting negligence of any participants, bystanders, or other operators, the consumption of edibles and liquids or other substances, human behavior, and/or the forces of nature, including, but not limited to, weather conditions, road and transportation conditions, the behavior of any order of animals, domestic or wild, and interactions with all types of flora.

(4) That I and/or my guardianship relations will observe and obey all posted rules and regulations at any third party site or location visited.

(5) That I and/or my guardianship relations will follow all instructions or procedures given by AAHP staff, or any other representatives of the AAHP.

(6) That my participation is completely voluntary.

I hereby state, that, by signing this release form, I fully assume all risk, as well as all responsibility for any losses and/or damages that I and/or my guardianship relations, noted above, may suffer, or deliberately or accidentally cause onto anyone else, or onto any other property, whether in whole, or in part.

I agree to hold harmless the AAHP from all claims to damages, losses, injuries, and expenses arising out of, or resulting from, my participation in AAHP events or activities, and/or the participation of my guardianship relations, listed above. I also agree not to litigate against the AAHP as a result of my participation and/or the participation of my relations, as listed above. If the AAHP is forced to legally defend my actions, and/or the actions of my family relations, listed above, I agree to pay the court costs, attorney’s fees and other related expenses.

In case of a medical urgency or emergency, I hereby grant permission to the AAHP and its representatives to release to first responders, and to health care personnel, any medical information that I have listed above, and/or that I voluntarily choose to share in real time, during duress.

It is my intention to exempt and relieve the AAHP from any and all liability for any personal injury, any property damage, or wrongful death in which I, or my guardianship relations, named above, may suffer, or cause others, in whole or in part. I have read and understand the foregoing and, by signing this release, I agree to participate in AAHP events and activities for which I have voluntarily registered names, and under these stated terms.
Signature (type your name)*
Today's Date*

MonthDayYear
Date
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