Waiver of Liability and Release of All Claims Student's Name * First Name Last Name Student's Age * Parent/Guardian Contact Name * First Name Last Name Parent/Guardian Contact Email * Parent/Guardian Phone * (###) ### #### WAIVER OF LIABILITY AND RELEASE OF ALL CLAIMS * As the Parent/Guardian of the Participant, I am authorized to execute this waiver of liability on behalf of my minor child and myself. As a condition of participating in a Flight Studio program, I understand that I must agree to waive any legal liability claims against Flight Studio. I understand that Flight Studio will strive to ensure its programs are safe and enjoyable for its participants, but I also understand that accidents may happen. I fully waive and release Flight Studio and all its members, employees, and agents from any and all claims and causes of action existing now or in the future as a result of my child’s participation in activities with Flight Studio. I agree not to sue Flight Studio, its members, employees, and agents for any claim, injury, or event that may occur as a result of participation in activities with Flight Studio. I agree to indemnify Flight Studio and its members, employees, and agents against all claims, damages, and attorney’s fees relating to my Participant’s participation in Flight Studio activities. . I AGREE. EMERGENCY MEDICAL AUTHORIZATION AND INFORMATION * I understand that participation in group activities involves some inherent risks and the danger of accidents resulting in physical injury. Knowing these risks, I hereby assume these risks on behalf of the minor Participant. If the Participant requires any medication on-site (including an EpiPen or Benadryl), the Parent/Guardian must provide said product to Flight Studio. Additionally, I authorize the staff of Flight Studio to use their best judgment in any emergency situation and release Flight Studio from liability resulting from injury sustained, including death, as a result of participation in Flight Studio activities. I, the Parent/Guardian of the Participant, give my consent, after all reasonable attempts to contact me have been unsuccessful at my given emergency telephone numbers, for: 1. The administration of any treatment deemed necessary by a licensed physician or dentist; and 2. The transfer of the child to any hospital reasonably accessible. This authorization does not cover major surgery unless the medical opinions of two other licensed physicians or dentists concurring in the necessity for surgery are obtained in writing prior to the surgery. . I CONSENT. Student Health Card Number * The following information may be needed by a hospital or practitioner not having access to the Participant's medical history: 1. Drug Allergies: [List any] 2. Medication: [List any] 3. Physical Impairments: [List any] 4. Any Other Known Health Problems: [List any] 5. Religious Restrictions regarding emergency/health care situations: [List any] 6. Food Allergies: [List any] . ALLERGIES * I acknowledge and understand that Flight Studio has a NO nut product requirement for all participants and their families. This means I promise not to provide the Participant with any food items containing nuts, nut by-products, or made in contact with nuts for consumption at Flight Studio or during any Flight Studio function. If my Participant has a nut allergy, I understand that it is impossible to eliminate all nut contact. I hereby waive any and all claims against Flight Studio for any exposure, intentional and/or negligent, that my Participant may encounter to nuts, nut by-products, or products made in contact with nuts. . I AGREE. MEDIA RELEASE * I acknowledge that Flight Studio may periodically photograph or video its participants and their artwork, and I grant my full permission for Flight Studio to photograph, video, record, or reproduce images of my Participant and their artwork. I consent to Flight Studio’s use of these recordings and agree to relinquish any claims to royalties or damages. . I CONSENT. I DO NO CONSENT. Signature * By adding your name and submitting, you agree to the above conditions. . Date * MM DD YYYY Thank you!
