Participation: I am the parent or guardian of the child named above ("Child"). I have registered my Child and grant permission for my Child to participate in one or more activities, workshops, festivals or school break programs (“Activities”) at the Brooklyn Arts Exchange (“BAX”). I understand that such Activities involve physical activity, can be hazardous and may result in injury to my Child. I represent that my Child is in good health and physically able to participate in the Activities.
Medical: I understand and agree that if my Child is injured and requires medical attention and I cannot be reached for instructions, I give my consent and authority to BAX (including its employees, agents or independent contractors (collectively, “Representatives”)) to obtain medical treatment for my Child at City MD (420 5th Avenue, Brooklyn, NY 11215), a local emergency room or any other medical facility selected by BAX. I hereby release, hold harmless and discharge BAX and its Representatives from any claim that may arise from such medical treatment. I understand and acknowledge that BAX shall not be responsible for any costs, fees or expenses due to such medical treatment and I agree that all such costs, fees or expenses shall be my responsibility.
General: I hereby release, discharge and hold harmless BAX and its Representatives from any and all claims, causes of action and demands, which I or my Child, or our family, estate, heirs, successors or assigns, may have had or will have against BAX and/or its Representatives arising or resulting from my Child’s participation in the Activities, including without limitation, any claims, demands or causes of action for injuries suffered by my Child, including but not limited to injuries resulting from (directly or indirectly) the negligence of BAX or its Representatives.