CREATIVE M PROJECTS - WAIVER Release Form

Last Name, First Name, Middle Initial

Date of Birth

Address

Telephone

Email

PARENT/GUARDIAN Last, First Name (If Artist is under 18)

Please confirm why you are completing this online waiver

I'm participating in an upcoming event
I want to be a member of the Artist Network
I want to be a volunteer

If you selected "participating in an upcoming event" please give us the name of the event

In exchange for being granted permission to participate in activities and/or engage in paid or non-paid work with CREATIVE M PROJECTS, I willingly agree to the terms described in this online form indefinitely

Agree

If I am not yet 18 years of age, my parent or legal guardian agree to be bound by each of the terms described in this online form

Agree

(IDENTIFICATION OF RISKS) I understand that participation in the activity may involve risk of injury, disability and death, and perhaps damage to property.

Agree

I have voluntarily chosen to participate under the direction of Creative M Projects - their team, staff and/or volunteers

Agree

I understand that participation in any activity may involve risk of injury, disability, death and damage to property, and while particular rules and personal discipline may reduce the risk - risk of injury does exist

Agree

In consideration of Creative M Project's agreement to have its team, staff and/or volunteers instruct, assist and train me, I do forever release and discharge and hereby hold harmless Creative M Projects

Agree

I am aware that it is my responsibility to inform Creative M Projects of any pre-existing conditions before participating in any activities.

Agree

I further understand that Creative M Projects, its team, staff and/or volunteers hold no liability regarding such pre-existing conditions

Agree

I knowingly and freely assume all such risks, both known and unknown, even if arising from negligence of Creative M Projects, its team, staff and/or volunteers and/or equipment that my malfunction and assume full responsibility for my participation

Agree

I agree to comply with Creative M Projects conditions of participation, and abide by organization policies, including health and safety policies

Agree

I acknowledge and agree that no warranties or representations have been made to me regarding the result I will achieve from this program and/or activity

Agree

I acknowledge that I have thoroughly read the Policies, Informed Consent and Waiver of Liability described above and fully understand its contents

Agree

Medical Acknowledgement

I confirm that I am currently NOT under the care & supervision of a physician and/or medical professional
I confirm that I AM currently under the supervision of a physician and/or medical professional and they have authorized my participation in CMP activities and/or programs
I confirm that if this is an in person activity, I am currently NOT ill, I do NOT have a fever nor am I carrying any infectious airborne disease

If you are under currently under the care of a medical professional pls share any accommodations that we need to take into consideration for you

My name typed below serves as an electronic signature verifying that I am waiving any right I or my successors might have to bring legal action or assert claim against Creative M Projects, its team, staff and/or volunteers

I attest that my electronic signature above was signed freely and voluntarily

Agree

Date of Acknowledgement

I certify that I signed as

Artist 18 years or older
Parent/Guardian of Artist under 18 years of age

First Name, Last Name, Middle Initial

Emergency Contact First & Last Name

Emergency Contact Cell Phone

Emergency Contact Work Phone

Emergency Contact Home Address

Emergency Contact Relationship

Parent/Guardian
Spouse
Family Member
Friend

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Waiver, Release and Consent Form