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Keshet Lavoux

Waivers and Informed Consent:

I, as parent/guardian of

(“Child”), hereby assume all risks and hazards incidental to the conduct of the activities at Keshet Lavoux Children‘s Art Studio and Keshet Lavoux. My Child is fit for the program(s) in which I have enrolled him/her. I HEREBY RELEASE AND SHALL DEFEND, INDEMNIFY AND HOLD HARMLESS Keshet Lavoux Children‘s Art Studio and Keshet Lavoux FROM EVERY CLAIM AND ANY LIABILITY THAT I OR MY CHILD MAY ALLEGE AGAINST (including reasonable legal fees and costs) AS A DIRECT OR INDIRECT RESULT OF INJURY OR DEATH TO ME OR MY CHILD BECAUSE OF MY CHILD’S PARTITIPATION IN ANY OF Keshet Lavoux Children’s Art Studio PROGRAMS WHETHER CAUSED BY THE NEGLIGENCE OF RELEASEES OR OTHERS. I PROMISE NOT TO SUE RELEASEES ON MY BEHALF OR ON BEHALF OF MY CHILD REGARDING ANY CLAIM ARISING FROM OR RELATED TO MY CHILD’S PARTICIPATION IN ANY PROGRAM(S). I ACKNOWLEDGE THAT, BY SIGNING THIS DOCUMENT, I AM RELEASING Keshet Lavoux, AND THEIR REPRESENTATIVES, AGENTS, EMPLOYEES, VOLUNTEERS, MEMBERS, SPONSORS, PROMOTERS, AND AFFILIATES (COLLECTIVELY “RELEASEES”) FROM LIABILITY, AND THAT I AM GIVING UP SUBSTANTIAL LEGAL RIGHTS. THIS SIGN UP AND RELEASE FORM IS A CONTRACT WITH LEGAL AND BINDING CONSEQUENCES AND IT APPLIES TO ALL ACTIVITIES IN WHICH MY CHILD ENGAGES DURING THE SUMMER CAMP AT Keshet Lavoux Children’s Art Studio, REGARDLESS OF WHETHER SUCH ACTIVITY IS A PART OF A FORMAL PROGRAM. I HAVE READ THIS RELEASE CAREFULLY BEFORE SIGNING. I UNDERSTAND WHAT THIS RELEASE MEANS AND WHAT I AM AGREEING TO BY SIGNING.


I also understand that no insurance coverage for participants in these activities is provided by Keshet Lavoux Children’s Art studio.

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PHOTO CONSENT
YES, I permit Keshet Lavoux to use pictures of my child(ren) as program participants in promotional marketing materials for Keshet Lavoux Children’s Art Studio. I understand my child(ren)’s name(s) will not be published.
NO, I do not permit Keshet Lavoux to use pictures of my child(ren) for promotional purposes

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