POLY EDUCATION, Imagination Station Art
Safety Liability Waviers and Release of Claims
Medical and Liability Release
A signed Accident Waiver and Release of Liability is required for all students attending in-person classes at PolyFunction/PolyEducation Space, LLC (“PolyFunction Space”).
I, the undersigned parent/legal guardian, hereby consent to my child’s participation in classes and activities conducted by PolyFunction Space. I acknowledge and assume all risks associated with such participation, including, but not limited to, risks arising from negligence.
I hereby release, waive, discharge and covenant not to sue Polyfunction Space, its
owner, instructors, employees and agents for any and all liability, claims, demands, or injury, including death, that may be sustained by my child, whether arising from
negligence during break time or after release, whether on or off the premises, while
participating in class and activities or traveling to and from the premises.
I authorize PolyFunction Space, its owner, instructors, employees, and agents to obtain any emergency medical treatment for my child as deemed necessary, and I agree to assume full financial responsibility for such care and to hold them harmless for their judgment and actions taken in response to the emergency.”
I further agree to indemnify, defend, and hold harmless PolyFunction Space, its owner, instructor, employees and agents from any present and future liability, claims, including attorneys’ fees, arising out of or related to my child’s participation.
Appearance and Media Release
I understand that my child may appear in video recordings and photographs taken
during classes. Such recordings may include my child’s name, image, voice, and
likeness and may be used by Polyfunction Space for current and future educational and promotional purposes.
I hereby grant Polyfunction Space and Ms. Tang the irrevocable, perpetual, and
exclusive right to record, photograph, use, reproduce, and distribute such materials
without compensation or limitation. I waive any right to inspect or approve such
recordings or photographs.
Class Rules and Responsibilities
I acknowledge that Polyfunction Space and Ms. Tang have established rules governing student conduct, behavior, and activities. My child agrees to comply with all such rules, and I accept responsibility for any failure to do so.
1.Students must arrive on time and follow the class schedule.
2.Parents or guardians must pick up their child promptly.
3.If another authorized adult will pick up the child, prior notification must be
provided on the same day, along with identification and contact information.
4.During break times, students must remain inside the classroom or designated
indoor areas and behave safely. Students are not permitted to leave the building
after class without parent’s supervision, in order to avoid potential hazards,
including those in the parking lot.
5.All notes, videos, PowerPoint slides and other teaching materials created by Ms.
Tang are original works and are protected by copyright. These materials are
provided for students’ personal use only and should not be distributed, shared, or
reproduced.
Acknowledgment and Signature
I hereby certify that I have read this Accident Waiver and Release of Liability in its
entirety and fully understand its contents. I acknowledge that this document includes a release of liability and an assumption of risk. I confirm that I am signing this agreement voluntarily and of my own free will.