WorkShop Sign-up Form

What workshop will you be attending?

Participant Full Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Age of Participant (If under 18 yr)

Emergency Contact Name & Number

Please list any allergies, medical conditions, accessibility needs, or other important information our staff should be aware of to help keep the participant safe during the workshop.

I have read, understand, and agree to the ReCreate Center Participant Waiver & Release.

Participant Name / Parent or Gaurdian Name (If under 18 yr)

First NameLast Name

Assumption of RiskI understand that participation in ReCreate Center workshops, programs, events, camps, outreach activities, and other creative activities may involve inherent risks. Activities may include, but are not limited to, painting, drawing, sewing, crochet, crafts, sculpture, cooking, use of art tools and materials, and other hands-on activities.I voluntarily assume the ordinary and inherent risks associated with participation, including the possibility of minor cuts, burns, allergic reactions, stains, slips, falls, or other injuries.Release of LiabilityTo the fullest extent permitted by Florida law, I release and hold harmless ReCreate Center, its directors, officers, employees, volunteers, instructors, representatives, and agents from claims arising from the ordinary and inherent risks of participation in ReCreate Center activities.This release is not intended to waive rights or claims that cannot legally be waived under applicable law.Medical Treatment & Emergency AuthorizationIn the event of an emergency, I authorize ReCreate Center staff or representatives to contact emergency medical services and, when I cannot be reached promptly, to obtain reasonably necessary emergency medical care for the participant.I understand that I am responsible for medical expenses incurred on behalf of myself or my child.Allergies & Special NeedsI understand that it is my responsibility to notify ReCreate Center of any known allergies, medical conditions, accessibility needs, behavioral considerations, or other information that may affect safe participation.I understand that ReCreate Center cannot guarantee an allergen-free environment.Personal PropertyReCreate Center is not responsible for lost, stolen, damaged, or misplaced personal belongings.Participant ConductParticipants are expected to follow safety instructions and behave in a manner that does not create an unreasonable risk to themselves or others. ReCreate Center reserves the right to stop a participant from taking part in an activity when necessary for safety.AcknowledgmentBy signing below, I confirm that I have read and understand this waiver. I voluntarily agree to its terms. If signing for a minor, I certify that I am the participant’s parent or legal guardian and have authority to sign on their behalf.

Photo & Video ReleaseReCreate Center may take photographs and/or videos during workshops, events, programs, and community outreach activities for use in promoting our nonprofit and its mission.Photos or videos may be used on ReCreate Center's website, social media, printed materials, advertisements, fundraising materials, grant applications, and other promotional or educational materials.

Signature

How will you be paying for this workshop?

Payment Amount

USDDescription

Credit Card

Please send your workshop payment via Zelle. (772-626-8966 ReCreate Center) Include the participant's name and workshop name in the payment memo.Your spot is not confirmed until payment is received.Then add your Zelle phone number or email underneath.

Students Full Name

First NameLast Name

Parent/Guardian Full Name

First NameLast Name

I understand that selecting Step Up For Students does not mean my workshop has been paid for or approved. I am responsible for completing the required Step Up funding process.

WorkShop Sign-ups

Payment Amount*

Credit Card

Payment Amount