WORKSHOP WAIVER

WORKSHOP WAIVER
Metal working, wood working and other hands on shop classes can be an inherently dangerous activity and, as such, Austin17House requires all persons attendingAustin17House classes, seminars, or workshops or using any Austin17House equipment or facilities to sign this. Youth must be at least twelve years old to participate in the workshop.
RELEASE AND WAIVER OF RESPONSIBILITY
I understand that metal working, woodworking, and automotive are inherently dangerous activities and acknowledge that there are risks inherent in their practice, including without limitation: (1) the use of and exposure of sharp objects and blades(2) handling many types of chemicals (3) exposure to rust (4) exposure to power tools(5) exposure to falling objects (6) exposure to dust particles. I understand that my negligence or failure to act within my abilities may contribute toor result in an injury. I certify that I am 12 years of age or older.*

I agree
AUSTIN17HOUSE ("A17H") hereby specifically disclaims any and all responsibility or liability for, and I hereby irrevocably release A17H from, any and all claims, whether known or unknown, which I may have relating to: (i) any and all damages to the student or any personal property of the student, including without limitation, indirect and consequential damages or injuries as a direct or indirect result of the inherent risks of metal working; (ii) any liability relating to instruction, construction, design, use of any A17H equipment or facilities, manufacture of any product, or any other activity undertaken in conjunction with classes, workshops or seminars offered by A17H or as a result of the use or application of information given or contained in any class, workshop or seminar offered by A17H or contained in any writing given to me by A17H or (iii) any actions taken by me while on the A17H premises with respect to construction, design, use of equipment or facilities or manufacture of any product.*

I agree
Youth Name*

First NameLast Name
DATE*

MonthDayYear
Date
YOUTH SIGNATURE*

Clear
Date*

MonthDayYear
Date
PARENT/GUARDIAN SIGNATURE*

Clear
Should be Empty:

WORKSHOP WAIVER

RELEASE AND WAIVER OF RESPONSIBILITY