Permission Slip

When registering your child with Art More Place for the first time, please complete and submit this form online no later than the first day of class. A single one-time form is required per family and covers any sibling listed below, regarding of whether registering now or in the future. Please notify us if any information in this form changes.
  • Permission / Authorization

    I hereby authorize/consent myself, my child(ren) and/or my child(ren)'s caregiver to participate in Art More Place activities, except as noted below:

    I grant permission for the staff at Art More Placeto take any and all necessary steps to obtain emergency medical care for my child(ren), if warranted in their sole discretion, and agree that any expenses associated with any medical care will be my responsibility. In all cases of emergency, the child's welfare will be the primary focus; however, every reasonable attempt will be made to immediately reach the Parent/Guardian or designated caregiver. These steps may include, but are not limited to, the following:

    • Administering first aid
    • Calling an ambulance or paramedics
    • Taking the child to the nearest hospital emergency room in the company of a staff member, in a staff member’s vehicle
    • Administration of reasonable medical care as determined by medical personnel in their professional judgment, including, but not limited to, surgery and administration of anesthesia
  • Assumption of Risk, Release, Waiver and Indemnification

    I hereby acknowledge, agree, and accept the risk of injury inherent in any physical activity or program, including particularly, the activities offered by Art More Place. Such risks may include but are not limited to falling, bumping, risks from abrasions, scrapes, cuts, broken, sprained or bruised limbs, injury to eyes, consumption or inhalation of paint or other media, as well as risks from the actions or omissions of others.

    As such, I hereby release, discharge, indemnify and hold harmless Art More Place, its owners, members, managers, instructors, affiliates, agents, employees, successors and assigns, from any and all injuries, illnesses, medical conditions, medical care, death, damages, claims, liabilities, expenses or judgments, including attorneys’ fees and court costs resulting from my, my child(ren)'s, or my child(ren)'s caregiver’s participation in a program or presence on Art More Place's premises or other location where Art More Place may conduct art instruction, except as such may arise out of Art More Place's gross negligence.

    I expressly agree that Art More Place may use photos, video, sound recordings taken of me and my child(ren), for any purpose, including use for publicity. In addition, I agree that Art More Place shall have a fully-paid, perpetual license to use photographs, copies or reproductions of any work of art produced in its studio by me or my child(ren).

    I hereby release Art More Place from any damage or loss to any of my personal property.

    I understand and agree to all of the terms of this Permission Form and all questions that I may have had related to this Form have been answered to my satisfaction, and I understand that this constitutes a waiver and release of liability of small hands big art. I acknowledge receipt of and agree to the Art More Place policies.
  • Electronic Signature and Submission Instructions

    By entering your name below and the date, this constitutes your electronic signature of this form. Our system will record the date and time of receipt, as well as your outgoing email address.
Art More PlacePermission Form