Funk & Junk Furniture’s Kid’s Art Camp Participant Registration and Release Form

WAIVER AND RELEASE OF LIABILITY AND INDEMNITY AGREEMENT

IN CONSIDERATION for allowing the Minor below to participate in Kimberly LaPierre’s

Creative Art Camps and all the related activities (hereafter “Art Camp”) at 17-19 N. Franklin Street, Lambertville, NJ 08350 (hereafter “Funk & Junk Furniture”), the undersigned Parent and/or Guardian and Minor agree as follows:

Photo and Art-making release

I (we) hereby give permission for any photographs or videos taken of our child or his/her art during the Summer Art Camp to be used to promote Funk & Junk Furniture activities. The name of the child will not be identified. I (we) understand that there are certain risks involved in art activities generally. Funk & Junk Furniture agrees to be responsible for its and its staff members’ gross negligent acts. I (we) agree to accept the risks and not to hold Funk & Junk Furniture responsible for its staff members’ non-negligent acts.

Expectations for positive behavior

Funk & Junk Furniture works to provide a fun, positive, and safe environment for all campers to thrive. I (we) understand that Funk & Junk Furniture reserves the right to dismiss a disruptive child at any time, with no refund of fees.

Minor Release

SUMMER CAMP: MINOR RELEASE (parent or legal guardian must sign for participants, all under age 18) Funk & Junk Furniture (together with its members, directors, officers, employees, contractors, and/or agents, Art Camp is a part of its offerings to enrich community life through excellence and involvement in the creative arts. Consequently, you acknowledge, represent, and warrant that:

  1. Art Camp may involve physical activity and/or pose risk of injury (whether by your child’s/dependent’s or other’s actions or inactions). You are aware of and accept these risks (including without limitation that your child/dependent is responsible for staying on site).
  2. Your child’s/dependent’s health and physical condition allow participation in Art Camp. Your own personal/family health insurance shall be the primary source of coverage for your child/dependent, and in no event is Funk & Junk Furniture assuming nor shall it have any liability for injuries or harm arising in connection with Art Camp.
  3. YOU AND/OR YOUR CHILD/DEPENDENT HEREBY RELEASE, RELIEVE, INDEMNIFY, REIMBURSE, DEFEND, AND HOLD HARMLESS Funk & Junk Furniture FROM AND AGAINST ANY AND ALL CLAIMS, ACTIONS, CAUSES OF ACTION, SUITS, LIABILITIES, COSTS, LOSSES, DEMANDS, JUDGMENTS, OR DAMAGES OF ANY KIND (INCLUDING WITHOUT LIMITATION DIRECT, INDIRECT, ACTUAL, CONSEQUENTIAL, PUNITIVE, OR SPECIAL, AND ATTORNEY’S FEES INCURRED IN DEFENDING OR RESPONDING TO SAME) ARISING OUT OF YOUR CHILD’S/DEPENDENT’S PARTICIPATION IN SUMMER CAMP.

I acknowledge that I have read and understand the terms of this Release, that you are the minor dependent’s parent and/or legal guardian, understand that you are giving up substantial rights for you and/or your dependent by signing this Release, have signed it voluntarily and without inducement or assurance of any nature, and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law. You further agree that if any portion of this Waiver is held to be invalid, the balance shall continue in full force and effect.

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