Minni Waiver

Children under 18 are REQUIRED to have their waivers signed and initialed by a parent or legal guardian (preferably the one accompanying them to Minni) prior to participating in classes, workshops or drop-in activities at Minni. 

Our waivers are completely confidential. None of your personal information will be given away or sold.

 

Please complete the form below

Participant/Guardian Name *
Participant/Guardian Name
Address *
Address
Phone Number *
Phone Number
Emergency Contact Info
Emergency Contact *
Emergency Contact
Phone Number *
Phone Number
I understand that it is a condition to participation in any Program offered by Minni that I read and agree to Minni’s Release and Indemnification Agreement and to Minni’s Policies. I understand that if I do not click the “I agree” box for both items, I and my child(ren) will not be allowed to participate in any of the Programs. By clicking the box next to “I agree”, I represent that I have read and understand the Release and Indemnification Agreement and am agreeing to its terms. *
By clicking the box next to “I agree”, I represent that I have read and understand the Policies governing participation in the Program and am agreeing to their terms. *
MINNI PARENT/GUARDIAN AGREEMENT & NOTICE OF POLICIES
I represent that I am the parent or legal guardian of the child I am enrolling, who is participating in a semester, camp day, program or other event (hereinafter the “Program”) by or with Minni Space LLC (hereinafter “Minni”). I hereby give my authorization and approval for my child’s participation in any and all of the activities of the Program. I further acknowledge and agree that participation in the Program may involve outdoor activities in which students are outside of Minni’s space and visit nearby galleries and artist studios and include risks of physical injury. I further acknowledge that the above is not inclusive of all possible risks associated with the Program and that the above in no way limits the extent or reach of this release. By enrolling my child in the Program, and in consideration for the opportunity to participate in the Program, to the fullest extent permitted by law, I hereby release, indemnify and hold harmless on behalf of myself, my child, our respective heirs, representatives, executors, administrators, and assigns (each an “Indemnitor”) Minni, its officers, agents and employees from any and all causes of action, claims, or demands of any nature whatsoever, including but not limited to a claim of negligence, which I and any Indemnitor may now have or have in the future against Minni arising out of or in any way related to my child’s enrollment, or inability to enroll, in the Program. Through my signature below, or checking the appropriate box during online registration, I acknowledge that I have read this Release and Indemnification and understand that it includes an assumption of the risk and a release of liability. I understand that Minni is relying on this waiver in allowing my child to participate in the Program. I hereby certify that my child has no limitations that with or without a reasonable accommodation would preclude his/her safe participation in the Program. To ensure the safety of your child and the safety of others, please describe in the space below all attributes of your child that may require a reasonable accommodation, including, without limitation, any need for medication, all allergies, and any other physical or mental attribute that may need reasonable accommodation.
I hereby irrevocably consent to and authorize the use and reproduction by Minni of any and all photographs, recordings, videos and/or other reproductions of likenesses of the Child’s person or characteristics (“images”) and his/her projects for any purpose, whatsoever, without compensation to the Child. All images shall constitute the property of Minni, solely and completely. Further, I assign and release all rights to said images and authorize Minni, or others authorized by them, to exhibit, broadcast, and/or distribute or otherwise further reproduce said images in whole or in part over or in any medium whatsoever, including, without implied limitation, newsletters, radio, newspapers, closed circuit television, film, cable and television, with or without compensation in perpetuity. I also release, discharge and agree to hold harmless the producers or any persons, or entities acting under their permission or authority from any liability arising from the use of said images. I understand that personal information about my child will never be shared in conjunction with these photographs without my permission.