Permission Form

I hereby authorize/consent myself, my child(ren) and/or my child(ren)’s caregiver to participate in The Bean and Belle Children’s Art Studio activities. I grant permission for the staff at The Bean and Belle to take any and all necessary steps to obtain emergency medical care for my child(ren), if warranted in their sole discretion, and agree that any expense associated with any medical care will be my responsibility. In all cases of emergency, the child’s welfare will be the primary focus; however, every reasonable attempt will be made to immediately reach the Parent/Guardian or designated caregiver. These steps may include, but are not limited to the following: -Administering first aid -Calling an ambulance or paramedics -Taking the child to the nearest hospital emergency room in the company of a staff member, in a staff members vehicle -Administration of reasonable medical care as determined by medical personnel in their professional judgment, including but not limited to, surgery and administration of anesthesia Assumption of Risk, Release, Waiver and Indemnification I hereby acknowledge, agree, and accept the risk of injury inherent in any physical activity or program, including particularly, the activities offered by The Bean and Belle Art Studio. Such risks may include but are not limited to falling, bumping, risks from abrasions, scrapes, cuts, broken sprained or bruised limbs, injury to eyes, consumption or inhalation of paint or other media, as well as risks from the actions or omissions of others. As such, I hereby release, discharge, indemnify and hold harmless The Bean and Belle Children’s Art Studio, its owners, members, managers, instructors, affiliates, agents, employees, successors and assigns, from any and all injuries, illnesses, medical conditions, medical care, death, damages, claims, liabilities, expenses or judgment, including attorney’s fees and court costs resulting from my , my child(ren)’s or my child(ren)’s caregiver’s participation in a program or presence of ‘the Bean and Belle premises, except as such may arise out of The Bean and Belle Children’s Art Studio gross negligence. I hereby release The Bean and Belle Children’s Art Studio from any damage or loss to any of my personal property. I understand and agree to all of the terms of this Permission Form and all questions that I may have had related to this Form have been answered to my satisfaction, and I understand that this constitutes a waiver and release of liability of The Bean and Belle Children’s Art Studio. I acknowledge receipt of and agree to The Bean and Belle Children’s Art Studio art policies. I hereby attest that I am (we are) the legal parent\guardian(s) of the above-named child and hereby consent to the child's participation in the activities described above. I understand that activities of the kind described above may result in physical injury to my child but nonetheless specifically request that he or she be allowed to participate in those activities.

I expressly agree that The Bean and Belle Children’s Art Studio may use photos, videos, sound recordings taken of me and my child(ren), for any purpose, including use for publicity. In addition, I agree that The Bean and Belle Children’s Art Studio shall have a fully-paid, perpetual license to use photograph, copies or reproductions of any work or art produced in its studio by me or my child(ren).

I expressly agree that I have read and understand the cancellation/refund policies stated by The Bean and Belle: Change and Cancellation Policy: If you would like to change your child’s camp/class dates & times, please let us know in writing at least one week prior to the start of camp by sending an email to jen@thebeanandbelle.com, and we will be happy to accommodate your request if there is available space. If you need to cancel and have already paid for the session, your payment (less the deposit) will be refunded if we are notified in writing three weeks prior to the start of camp.

If, in the event of a medical or other emergency, I am unable to be reached by telephone at my home or work telephone numbers listed below, I authorize the activity supervisor(s) to attempt to contact me through the emergency contacts listed below.