LSA IN-STUDIO CONSENT FORM

Please fill out the following form when you purchase your class online. Your child will not be able to attend the class if we do not receive this form before the class begins.

Feel free to send us an email with any questions or concerns.

Child's Name

Child's Birthdate

Grade

Parent First Name

Parent Last Name

Parent Phone Number

Camp/Class Signed Up For

Emergency Contact First Name

Emergency Contact Last Name

Emergency Phone Number

Parental Consent (required for participants under 18): As guardian and/or parent, I understand that I assume full responsibility for my child’s arrival and departure to and from Laurel Street Arts. I understand that Laurel Street Arts shall bear no responsibility for the means by which my child arrives at or departs.

Liability Agreement: In consideration for being allowed to participate in this class, I release from liability and waive my right to any legal action to LaurelStreet Arts, their owner or employees, contractors, volunteers and students from any and all claims, including negligence, resulting in any physical injury, illness or economic loss I may suffer or which may result from my participation in this class.

Illness/behavior: I waive all rights to any legal action against Laurel Street Arts in the event of injury, illness, damages, loss of personal property not caused by or resulting from the negligence of the owner or attendees in the studio. Preventative measures will be practiced to reduce the spread of COVID-19 and other illness by refusing admission to anyone appearing to not be feeling well. I understand that Laurel Street Arts reserves the right to dismiss me from this class for reasons such as, but not limited to, signs of illness, disruptive or unsafe behavior, behavior unsuitable for the comfort of the classroom environment, or poor performance at the sole discretion of Laurel Street Arts. Permission is granted for emergency treatment for your child if unable to contact you or emergency contact.

Photo Release: I give permission for my child's photo to be taken during their in-studio class. I understand that the photos taken at Laurel Street Arts are for the sole purpose of documenting the various experiences offered and may be used on their social media and website.

Name of Parent/Guardian

Date

See you in the studio!

LSA IN-STUDIO CONSENT FORM

Please fill out the following form when you purchase your class online. Your child will not be able to attend the class if we do not receive this form before the class begins. Feel free to send us an email with any questions or concerns.

Please fill out the following form when you purchase your class online. Your child will not be able to attend the class if we do not receive this form before the class begins.

Feel free to send us an email with any questions or concerns.