Student Names

List all minor students that will be participating. Please provide first and last names.

Parent/Guardian Name

First Name

Last Name

Parent/Guardian Email

Parent/Guardian Zipcode

I would like to receive a monthly email update regarding new classes and upcoming events.

Yes, contact me.

No, do not contact me.

This is a Release & Indemnity Agreement for the minor individuals listed above.

I, the undersigned parent and/or guardian of the above minor child, acknowledge that I am allowing said minor child to engage in the activities of glassblowing. I acknowledge and understand that the activities of glassmaking, including working with fire, hot and sharp glass, grinders, sharp tools and other potentially dangerous tools and products are inherently dangerous. I fully understand that the above minor child may be seriously injured or killed by engaging in these activities. I agree to release and hold Foci Minnesota Center for Glass Arts and its respective members, instructors, students and other glassblowing participants (hereinafter, the “Released Parties”) shall not be liable or responsible for any injury to the above minor child (including paralysis or death) or damaged property occurring during any Foci Minnesota Center for Glass Arts activities and resulting from acts or omissions occurring during the performance of the activities of the Released Parties, even where the damage or injury is caused by negligence (except willful neglect). I further promise to bind myself jointly and severally, my heirs, administrators, and executors to repay the Released Parties any sum of money that they may hereafter be compelled to pay on behalf of this minor child. Studio user waives all claims for remuneration for said use whether based on invasion of privacy or any other reason. I understand and agree the instructor has the right to end the class session at any time, for any reason. Instructor will do so when, in his/her sole opinion, it would be unsafe to continue with the instruction. Instructor shall also have the right to terminate any individual’s participation if, in the instructor’s sole opinion, said person is acting in a manner hazardous to others.

Waiver of Rights Under State Statutes

I further agree to waive all benefits flowing from any state statute, which would negate or limit the scope of this release. By signing this release, I certify that I have read this release and fully understand it and that I am not relying on any statements or representations made by the Released Parties.

Infectious Disease: Assumption of Risk, Release, and Waiver of Liability

I understand that while Foci MCGA has undertaken reasonable steps to lessen the risk of transmission of COVID-19 and other infectious disease, and that Foci MCGA is not responsible in any manner for any risks related to COVID-19 in connection with their services. I understand that the World Health Organization has classified the COVID-19 outbreak as a pandemic. I further understand that COVID-19 is a highly contagious and dangerous disease, and that contact with the virus that causes COVID-19 may result in significant personal injury or death. I am fully aware that participation in the Services (including any related travel) carries with it certain inherent risks related to COVID-19 transmission (“Inherent Risks”) that cannot be eliminated regardless of the care taken to avoid such risks. Inherent Risks may include, but are not limited to, (1) the risk of coming into close contact with individuals or objects that may be carrying COVID-19; (2) the risk of transmitting or contracting COVID-19, directly or indirectly, to or from other individuals; and (3) injuries and complications ranging in severity from minor to catastrophic, including death, resulting directly or indirectly from COVID-19 or the treatment thereof. Further, I understand that the risks of COVID-19 are not fully understood, and that contact with, or transmission of, COVID-19 may result in risks including but not limited to loss, personal injury, sickness, death, damage, and expense, the exact nature of which are not currently ascertainable, and all of which are to be considered Inherent Risks. I hereby voluntarily accept and assume all risk of loss, personal injury, sickness, death, damage, and expense arising from such Inherent Risks. Furthermore, I represent and warrant that I do not suffer from any medical condition or disease that might in any way hinder or prevent me from receiving Foci MCGA's services, including, to my knowledge, COVID-19. I expressly agree that this Agreement is intended to be as broad and inclusive as is permitted by applicable laws, and that if any portion of this Agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect. This Agreement contains the entire understanding of the parties relating to the subject matter, and shall not be altered, modified, amended, waived or supplemented in any manner whatsoever except by a written agreement signed by both parties hereto or their duly authorized representatives. To the maximum extent permitted by applicable law, I (a) covenant and agree not to elect a trial by jury with respect to any issue arising out of this Agreement or the Services that is triable of right by a jury, and (b) waive any right to trial by jury with respect to such issue to the extent that any such right exists now or in the future. This waiver of right to trial by jury is given knowingly and voluntarily. I have read and understood this Agreement and enter into it voluntarily in consideration of the opportunity to participate in the Services. I acknowledge I am giving up legal rights and/or remedies which may be available to me.

Photo & Video Release

I understand Foci MCGA often photographs and/or makes other recordings of events occurring in the studio or class projects. Parents/guardians expressly consents to their minor child's likeness, voice, or glass artwork being captured and authorizes Foci MCGA to use said material for all marketing and fundraising purposes. Studio user waives all claims for remuneration for said use whether based on invasion of privacy or any other reason. You are always welcome to discuss with photographers if you do not want to be included in their images or videos!

I agree

I do not agree

I have carefully read and agree to the terms of this Release & Indemnity Agreement and know the contents thereof, and I sign the same as my own free act.

Required to submit form.

I agree

Minor Liability Release and Indemnity Form

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