• Participation Waiver And Release Form

  • DOB*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.

  • I am aware of the dangers of attending this event on this particular date. I promise not to hold the company, its officers, agents, or employees liable or pursue legal action against them. This waiver absolves the company of any duty for injuries sustained on the premises before to, during, or after the activity.
    By signing this agreement, I agree to hold the company completely harmless, including financial responsibility for any injuries sustained, regardless of the cause or circumstances.
    I will do all in my power to obey corporate staff and all safety requirements, and I will seek clarification if necessary.

  • Today's Date*
     - -
    2 digit month, 2 digit day, 4 digit year

  • Acknowledgment of Risks

    I understand that participation may involve known and unknown risks, including, but not limited to:

    • Slips, trips, falls, collisions, or contact with other participants;
    • Cuts, scrapes, bruises, strains, sprains, burns, splashes, or eye irritation;
    • Exposure to science materials, household substances, art supplies, plants, soil, water, or other experiment materials;
    • Allergic reactions, skin irritation, respiratory irritation, or sensitivity to materials;
    • Injury caused by tools, classroom equipment, furniture, playground equipment, or project materials;
    • Physical exertion, fatigue, dehydration, heat exposure, or weather-related conditions;
    • Insect bites or contact with outdoor plants and surfaces;
    • Illness or exposure to contagious conditions;
    • Damage to or loss of personal property; and
    • Other risks that may not be reasonably foreseeable.

    I understand that injuries may range from minor injuries to serious injury, permanent disability, or, in extremely rare circumstances, death.

    Health and Safety Disclousure

    I confirm that I have provided Study Studio with accurate and complete information concerning my child’s health, allergies, medications, behavioral needs, physical limitations, learning needs, and any other condition that could affect safe participation.

    Iunderstand that I am responsible for informing Study Studio promptly and in writing if this information changes.

    I confirm that my child is physically and medically able to participate, except for the limitations disclosed. I understand that Study Studio does not provide medical diagnoses or individualized medical care.

  • Release and Waiver of Liability

    To the fullest extent permitted by California law, I, on behalf of myself and, to the extent legally permitted, on behalf of my child, our heirs, representatives, guardians, executors, administrators, and assigns, release and discharge:

    Study Studio, its owners, members, officers, directors, employees, instructors, independent contractors, volunteers, agents, representatives, landlords, facility owners, and affiliated organizations, collectively referred to as the “Released Parties,”

    from claims, demands, causes of action, damages, losses, or liabilities arising out of or related to my child’s participation in Study Studio activities, including claims involving personal injury, illness, death, or property damage caused by:

    1. The inherent or ordinary risks of the activities; or
    2. The ordinary negligence of one or more of the Released Parties.

    This release does not apply to gross negligence, reckless or intentional misconduct, fraud, willful injury, violations of law, or any liability that cannot lawfully be waived under California law.

    I understand that this section is intended to release claims that may otherwise be brought against the Released Parties for ordinary negligence.

    Acknowledgment of Understanding

    By signing, I acknowledge that:

    1. I am the child’s parent or legal guardian and have authority to sign this agreement;
    2. I have carefully read the entire agreement;
    3. I understand the activities and their potential risks;
    4. I understand that this document includes an assumption of risk and a release of certain liability;
    5. I understand that I am giving up certain legal rights, including certain claims based on ordinary negligence;
    6. I have had an opportunity to ask questions before signing;
    7. I am signing voluntarily and without pressure; and
    8. I understand that this agreement is intended to be as broad as California law permits, but no broader.
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