Participant Registration Form

This form allows participation in Santa Cruz Maker Studio’s classes, events, and camps.

Participant Information:

Participant's Name (First & Last Legal Name)
Parent/Guardian First Name (if participant is under 18 years old):
Address:
Photo/Video & Media Release

Emergency Contact & Approved Pick-Up Authorization:

Contact #1 (An individual other than person filling out this form)

Name:

Contact #2 (An individual other than person filling out this form)

Name:

Participant Waiver, Assumption of Risk, and Consent Agreement

By electronically or physically signing this document, I (“Participant”), or I as the parent or legal guardian of a Participant under 18 years of age, hereby voluntarily agree to the following terms and conditions for participation in any classes, events, or camps hosted by Santa Cruz Maker Studios, LLC (“SCMS”). 1. ASSUMPTION OF RISK & PARTICIPATION CONSENT I understand and acknowledge that SCMS activities may involve artistic, physical, or technical projects—including woodworking, sewing, painting, laser cutting, 3D printing, jewelry-making, sticker making, or similar—which carry inherent risks of injury or illness. These may include, but are not limited to: use of sharp tools, power tools, electrical devices, and heated surfaces; injuries such as cuts, burns, respiratory irritation, allergic reactions, or more serious accidents. I voluntarily assume all known and unknown risks associated with participation. 2. ATTIRE & SAFETY REQUIREMENTS Participants must follow all safety instructions and wear appropriate attire, including: closed-toe shoes, fitted clothing appropriate for varying temperatures, hair tied back and no loose jewelry or garments. Failure to comply may result in restricted participation for safety reasons. 3. ADULT SUPERVISION REQUIREMENT All children under the age of four (4) must be accompanied and actively supervised by a parent, legal guardian, or designated responsible adult (18 years or older) at all times while on SCMS premises, including during classes, camps, events, and other activities. The accompanying adult must remain on the premises and maintain direct supervision of the child throughout their visit. SCMS instructors and staff provide general instruction and supervision of activities but are not responsible for providing individual childcare or supervision in place of the accompanying adult. The accompanying adult is responsible for monitoring the child's safety, behavior, and interactions with materials, tools, equipment, and other participants, and for ensuring the child follows all safety instructions. Children under four may not be dropped off or left in the care of SCMS staff without their accompanying adult present. Failure to comply with this requirement may result in the child being unable to participate in the activity. 4. BATHROOM & PERSONAL CARE Parents or accompanying adults are responsible for assisting children with bathroom needs, diaper changes, and other personal care during SCMS activities. SCMS staff are not responsible for providing diaper changes, toileting assistance, or other personal care services. Parents or accompanying adults must remain available to assist their child as needed throughout the program. 5. CHOKING HAZARDS & SMALL MATERIALS I understand that SCMS activities may involve small materials and objects that could present choking hazards, particularly for young children. These may include, but are not limited to, beads, buttons, jewelry components, sewing supplies, craft materials, loose parts, and other small objects. I acknowledge that small objects may accidentally be dropped, misplaced, or become accessible in activity areas despite reasonable efforts by SCMS staff to maintain a clean and safe environment. SCMS makes reasonable efforts to monitor activity areas and remove potential hazards; however, I understand that SCMS cannot guarantee that all small objects will be identified or removed at all times. I agree that children under the age of four (4) must be accompanied and actively supervised by a parent, legal guardian, or designated responsible adult at all times. The accompanying adult is responsible for monitoring the child's interactions with materials and surroundings and ensuring that the child does not put non-food objects in their mouth. I understand that choking and accidental ingestion are potential risks associated with exposure to small objects and materials. 6. MATERIALS, ALLERGIES & SENSITIVITIES Participants may encounter wood dust, adhesives, paints, glues, latex, fabric, 3D printing filaments, or similar materials. I agree to notify SCMS of any allergies or sensitivities. I release SCMS from liability related to exposure or reactions to such materials. 7. MEDICAL INFORMATION CONSENT & PRIVACY By signing this waiver, I authorize SCMS to collect and use essential medical information (e.g., allergies, medications, relevant conditions) solely for the purpose of ensuring safe participation. For minors, I consent to the collection and sharing of this information on the child’s behalf. All medical data is kept confidential, securely stored, and accessed only by authorized staff. SCMS will never share this information except in emergencies or when legally required. 8. MEDICAL AUTHORIZATION & EMERGENCY CARE In case of injury or illness, I authorize SCMS to: administer basic first aid; seek emergency medical assistance if I or my child is nonresponsive; contact me via phone, text, or email about health or behavioral matters. I understand that SCMS does not provide health or accident insurance and that I am financially responsible for any incurred medical costs. 9. BEHAVIOR & PARTICIPATION POLICY I agree that all participants must follow staff directions and safety rules. SCMS reserves the right to dismiss participants for: unsafe or disruptive behavior, including physical aggression, bullying, or defiance, failure to adhere to safety protocols, excessively late pickups or early drop-offs. Dismissals for these reasons are not eligible for refunds or credit. 10. PROPERTY DAMAGE & PERSONAL ITEMS I accept financial responsibility for any damages caused by myself or my child beyond normal use. SCMS is not responsible for lost, damaged, or stolen personal belongings. 11. COMMUNICABLE DISEASE WAIVER I understand that participation may involve exposure to communicable diseases, including but not limited to COVID-19. I agree: – Not to attend SCMS activities if I or my child are exhibiting symptoms of illness. – To follow all health protocols and isolation requirements as directed by SCMS, public health guidelines, or CDC recommendations. – That missed days due to illness, exposure, or quarantine are not eligible for refund or credit. – To hold harmless SCMS and its representatives from any claims related to illness or health-related risks. 12. ENVIRONMENTAL EXPOSURE DISCLOSURE I acknowledge that SCMS operates in a commercial building that may have been built prior to modern environmental standards. I understand: – The building may contain residual lead-based paint, dust, or other environmental factors typical of older buildings. – Areas used by participants are cleaned and maintained to reasonable standards. – I assume the risk of minor environmental exposure and will inform SCMS of any respiratory conditions or sensitivities requiring accommodations. – I release SCMS from claims related to environmental conditions inherent in the facility. 13. LOCAL EXCURSIONS & FIELD TRIPS I give permission for myself or my child to participate in supervised local outings (e.g., parks, beach, neighboring studios). I release SCMS from liability related to such excursions. 14. REFUND & CANCELLATION POLICY All program fees are non-refundable unless SCMS cancels the program. No refunds or credits will be given for missed days due to illness, behavior, scheduling conflicts, or attire noncompliance. 15. INDEMNIFICATION I agree to indemnify, defend, and hold harmless SCMS, its owners, instructors, staff, agents, and volunteers from any liability, damages, claims, or legal action arising out of participation by myself or my child. 16. GOVERNING LAW & SEVERABILITY This agreement shall be governed by and construed under the laws of the State of California. If any provision of this agreement is deemed invalid or unenforceable, the remainder shall remain in full force and effect. 17. ENTIRE AGREEMENT This waiver represents the complete agreement between the Participant (or their parent/guardian) and SCMS. No verbal representations or modifications shall supersede this agreement unless made in writing and signed by both parties. 18. CONSENT TO ELECTRONIC SIGNATURE By checking the box, typing my name, or otherwise providing an electronic signature, I agree that my electronic signature is the legal equivalent of my manual signature. I affirm that: – I have read and understood this waiver in full. – I voluntarily agree to all its terms. – My electronic signature constitutes a binding agreement enforceable under the Electronic Signatures in Global and National Commerce Act (E-SIGN Act) and the Uniform Electronic Transactions Act (UETA). – If signing on behalf of a minor, I affirm I am their lawful parent or guardian with legal authority to do so.
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