Liability Release Form

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LIABILITY RELEASE FORM

All stained glass students are required to complete and sign a liability waiver, and read and agree to abide by the safety procedures as outlined below.

First name

Last name

Street Address

Street Address Line 2

City

Postal / Zip code

Region/State/Province

Phone

Emergency Contact Info

Safety in the Stained Glass Studio

1. Always wear safety glasses when cutting glass and using equipment.

2. Keep hair tied back.

3. Do not wear articles of clothing or jewelry that hang off the body.

4. All clothing must be 100% natural fibers. NO SYNTHETICS.

5. Do not wear open toed or open heeled footwear (i.e., flip-flops, sandals or clogs) in the glass studio. Wear long pants during class.

6. Do not use any equipment without supervision or permission.

7. Stained glass classes are not appropriate for pregnant women.
Waiver

In connection with my involvement in glass art classes at Vitrea Dei LLC, I hereby release Vitrea Dei LLC, its agents, representatives, successors, or assignees, including Vitrea Dei LLC management and employees, from all liabilities, actions, claims, damages, demands, costs, and expenses which I am now or in the future have against them, arising out of or in any way connected with my participation in art classes, including enroute to or from the program or its related events.

I understand that the waiver includes, but is not limited to, all injuries to me and or loss of injuries to any personal property. I also understand that this waiver includes, but is not limited to, any claims that are based on my alleged negligence or any other action or inaction of any of the above parties.

By checking here, I acknowledge I have read and understood the safety issues and waiver that have been outlined, and voluntarily agree to be legally bound by its terms.

Your Signature

Date

Thanks for submitting!

Vitrea Dei Studios

LIABILITY RELEASE FORM