Creation Chemistry Lab Waiver

Creation Chemistry Lab Participation Waiver

Required for participation in all Creation Chemistry Lab experiences and events.
Participant Type
Parent/Guardian or Group Contact Name

First NameLast Name
Number of Participants Covered Under This Waiver
Event Name / Organization
Emergency Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Event Date

MonthDayYear
Date
Event Time

Hour Minutes

AM/PM Option
I understand that participation in Creation Chemistry Lab experiences may include hands-on STEM activities, plush creation activities, slime activities, volcano activities, and interactive event experiences.

I acknowledge that participation is voluntary and agree to release Creation Chemistry Lab, its owners, staff, and representatives from liability for minor injuries, accidents, allergic reactions, or damages that may occur during participation.

I understand it is my responsibility to disclose any allergies, sensitivities, or medical concerns prior to participation. I acknowledge that proper supervision of minors remains the responsibility of the parent, guardian, school, organization, or supervising adult during the event.

I acknowledge that proper supervision of minors remains the responsibility of the parent, guardian, school, organization, or supervising adult during the event.
Allergy & Medical Acknowledgment
Photo & Media Permission
Participation Agreement
Parent/Guardian or Authorized Group Signature
DATE SIGNED

MonthDayYear
Date
Should be Empty:

Creation Chemistry Lab Participation Waiver