Consent and Release Form

Participant Name(s):

Program Name:

I hereby give permission for the above-named participant(s) to take part in the selected program(s) offered by Aliki’s Art House, including all related activities.

In the event of an emergency, I authorize the staff to administer basic first aid and, if necessary, seek further medical assistance from qualified professionals until I can be reached. I understand that every effort will be made to contact me (or the emergency contact provided) immediately in such circumstances.

Assumption of Risk and Release of Liability

I understand that participation in art programs involves certain inherent risks, including, but not limited to, the use of art materials, tools, and equipment. In consideration of being permitted to participate, I, on behalf of myself or my child(ren):
• Release and discharge Aliki’s Art House, its owners, employees, volunteers, and representatives (collectively referred to as “Releasees”) from any and all liability, claims, demands, or causes of action arising from or related to participation in any program or activity; and

• Agree to indemnify and hold harmless the Releasees from any claims asserted by me, my child(ren), or anyone on our behalf, in connection with participation in these programs.

This release applies to any claims, including those arising from negligence, except in cases of gross negligence or willful misconduct.

Acknowledgment
I have read and understood this Consent and Release Form. I acknowledge that by signing below, I am waiving certain legal rights on behalf of myself and/or my child(ren).

Parent/Guardian or Adult Participant Name

Signature:

Date

Emergency Contact Name & Phone:

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