Form

I,   First Name*   Last Name*   , the parent and or guardian of   First Name*   Last Name*   minor, authorize my child to go home on their own.

I   First Name*   Last Name*   have read, understand and agree to the above.

I,   First Name*   Last Name*   , the parent and or guardian of  
 First Name*   Last Name*   minor, knowing the risks involved in ceramics, including wheel throwing, hand building with tools, voluntarily sign this waiver and assumption of risk in favor of Choplet Design sur Grand (the Company) for the opportunity to have my child pursue the creation of ceramic art and/or to receive instruction from the Company’s employees and/or contractors. I waive and release the Company, its employees and its contractors from any claim for personal injury, property damage that may arise from my use of the facilities or from my child’s participation in the activities or instruction. In the event the child named above is injured or ill, I understand that Choplet Studio will attempt to contact me, the other parent, or the legal guardian associated with this registration. In the event that I or the others listed on my child’s registration are not available or that the emergency is such that EMS must be contacted first, I give my permission for Choplet Ceramic Studio’s staff to take the appropriate measures including contacting the emergency medical services (EMS) system and arranging for transportation to the nearest medical facility. I agree to pay all fees and costs arising from the action to obtain medical treatment. I also give permission for attending physician(s) or other medical personnel to administer any needed medical treatment, including surgery and I agree to pay for the medical treatment.

If my child is displaying any cold symptoms despite testing negative for Covid-19 (sneezing, coughing, sore throat, runny nose), I agree to send them to the afterschool program with a mask to wear for the duration of the class.

I understand that there are certain risks and dangers associated with the activity and use of the facilities and that these risks have been fully explained to me. I fully understand the dangers involved.

I fully assume the risks involved as acceptable to me and my child has the ability to exercise judgment in undertaking these activities and follow all safety instructions. I authorize Choplet Studio to photograph or film myself and/or my child without compensation, as well as the ceramic work produced, for the use in the studio’s promotional efforts.

I understand that Choplet Studio reserves the right to cancel a class as a result of insufficient enrollment. I am aware that a cancellation must be provided in writing within 10 days prior to the first class of the session. Refunds requested within 1 week of the first class are 50% refundable. No refunds available is available thereafter. In the event the after-school session has to be interrupted under the directive of CDC guidelines, I understand that Choplet will convert from in-person to online instruction and I will not receive a refund or a credit.

I understand the studio provides a 10 minutes grace period for late pick up and that my credit card on file will be charged $15 per 20 minutes of late pick up afterwards.

Assumption of Risk & Release of Liability

I,      First Name*   Last Name*      , the parent and or guardian of     First Name*   Last Name*    minor, understand that participation in ceramic and art activities involves certain inherent risks, including but not limited to the use of tools, equipment, and materials, as well as the general risks associated with a studio environment.

I voluntarily assume all risks associated with my child’s participation in activities at the studio.

To the fullest extent permitted by law, I agree to release, waive, and hold harmless Choplet Ceramic Studio, its owners, employees, instructors, and agents from any and all liability, claims, demands, or causes of action arising out of or related to my child’s participation in the Clay-cation program, including any injury, illness, or loss that may occur.

Permission for Supervised Neighborhood Walks

I understand that, as part of the program, children may participate in short, supervised walks in the neighborhood related to class projects, inspiration, or activities.
I give permission for my child to leave the studio premises under staff supervision for these walks.
I acknowledge that reasonable precautions will be taken to ensure the safety of all participants during these outings, and I agree to hold harmless Choplet Ceramic Studio and its staff from liability arising from participation in these supervised walks.

Medical Authorization

In the event of an emergency, I authorize the studio staff to seek appropriate medical care for my child if I cannot be reached immediately. I understand that I am responsible for any medical expenses incurred.

Allergies / Medical Conditions (if any):

If my child is displaying any cold symptoms despite testing negative for Covid-19 (sneezing, coughing, sore throat, runny nose), I agree to send them to the program with a mask to wear for the duration of the class.

Media Release

I fully assume the risks involved as acceptable to me and my child has the ability to exercise judgment in undertaking these activities and follow all safety instructions. I authorize Choplet Studio to photograph or film myself and/or my child without compensation, as well as the ceramic work produced, for the use in the studio’s promotional efforts.

Cancellation Policy

I understand that Choplet Ceramic Studio reserves the right to cancel a class as a result of insufficient enrollment. I am aware that 50% is refundable for cancellation provided in writing at least 7 days prior to start of the class. No refunds available is available thereafter.

Late Pick-up Policy

I understand the studio provides a 10 minutes grace period for late pick up and that my credit card on file will be charged $15 per 20 minutes of late pick up afterwards.

I,   First Name*   Last Name*   , the parent and or guardian of  
 First Name*   Last Name*   minor, knowing the risks involved in ceramics, including wheel throwing, hand building with tools, voluntarily sign this waiver and assumption of risk in favor of Choplet Design sur Grand (the Company) for the opportunity to have my child pursue the creation of ceramic art and/or to receive instruction from the Company’s employees and/or contractors. I waive and release the Company, its employees and its contractors from any claim for personal injury, property damage that may arise from my use of the facilities or from my child’s participation in the activities or instruction. In the event the child named above is injured or ill, I understand that Choplet Studio will attempt to contact me, the other parent, or the legal guardian associated with this registration. In the event that I or the others listed on my child’s registration are not available or that the emergency is such that EMS must be contacted first, I give my permission for Choplet Ceramic Studio’s staff to take the appropriate measures including contacting the emergency medical services (EMS) system and arranging for transportation to the nearest medical facility. I agree to pay all fees and costs arising from the action to obtain medical treatment. I also give permission for attending physician(s) or other medical personnel to administer any needed medical treatment, including surgery and I agree to pay for the medical treatment.

If my child is displaying any cold symptoms despite testing negative for Covid-19 (sneezing, coughing, sore throat, runny nose), I agree to send them to the spring or summer program with a mask to wear for the duration of the class.

I understand that there are certain risks and dangers associated with the activity and use of the facilities and that these risks have been fully explained to me. I fully understand the dangers involved.

I fully assume the risks involved as acceptable to me and my child has the ability to exercise judgment in undertaking these activities and follow all safety instructions. I authorize Choplet Studio to photograph or film myself and/or my child without compensation, as well as the ceramic work produced, for the use in the studio’s promotional efforts.

I understand that Choplet Studio reserves the right to cancel a class as a result of insufficient enrollment. I am aware that a $160 non-refundable deposit is required to register and hold a spot in a class and the balance will be refunded to me if I provide the cancellation in writing, no later than 7 days prior the first day of class. No refunds available is available thereafter. In the event the after-school session has to be interrupted under the directive of CDC guidelines, I understand that Choplet will convert from in-person to online instruction and I will not receive a refund or a credit.

I understand the studio provides a 10 minutes grace period for late pick up and that my credit card on file will be charged $15 per 20 minutes of late pick up afterwards.