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Programs & Events

Teen Workshop Registration Form
First Name *
Last Name *

Emergency Contact Information

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Last Name *

Alternate Contact Information

If a parent cannot be reached, who should we call? Please list two emergency contacts.
First Name *
Last Name *
First Name *
Last Name *

My child has the following medical conditions, allergies or needs:

In case of an emergency, The Columbus Museum has my permission to administer first aid and/or seek medical help for my child.

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Last Name *

For participating teens under 18 years of age, please complete the following section.

My child is over the age of 14 and has my permission to sign his/her/themselves in and out of this program.

First Name *
Last Name *
First Name
Last Name

Please provide a copy of guardian’s photo ID. All other adults picking up a child will be required to present a photo ID to verify their identity.

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Photography Release

Photo Release

Agreement & Release of Liability

I am the parent or guardian of the minor child listed on this agreement, referred to in this agreement as “my child”, who is going to participate in the Painting Workshop Series 4-class series sponsored by The Columbus Museum.

I understand that The Columbus Museum has a Board of Trustees, employees, and volunteers who carry out their programs. This agreement applies to anyone acting on behalf of The Columbus Museum. The Columbus Museum will take all reasonable steps to provide a safe environment for all persons who participate in their activities. On behalf of my child and myself, I hereby waive, release, and discharge any and all claims and damages for personal injury, death, or property damage, other than those specifically excepted below, which my child may sustain or which may occur as a result of my child’s or my participation in these activities. I understand that:

  1. This release is intended to discharge in advance The Columbus Museum their Boards, employees, and volunteers from any and all liability, except for their sole negligent or intentional acts, connected in any way with the participation of my child in these activities.
  2. The activity in which my child participates may be of a strenuous and/or physical nature.
  3. I hereby assume any and all risks of injury, death, or property damage and release and hold harmless The Columbus Museum and their Boards, employees, and volunteers, except for their or their agent’s sole negligent or intentional acts.
  4. This agreement and assumption of risk is to be binding on the heirs and assigns of my child and myself.
  5. I will hold The Columbus Museum harmless from any loss, liability, damage, cost, or expense, including cost of litigation, which may be incurred as a result of any injury and/or property damage which my child may sustain or cause while participating in said activities, unless resulting from their or their agent’s negligent or intentional acts.
  6. I will make good any loss or damage The Columbus Museum may have to pay if any litigation arises on account of any claim made by my child or anyone on my child’s behalf, unless resulting from their or their agent’s negligent or intentional acts.
  7. In the event that my child requires medical or surgical treatment while under the supervision of The Columbus Museum, personnel of those organizations in connection with the described activity may authorize necessary emergency medical treatment.

I certify that I am the parent of the above named child or that I have custody or am the legal guardian of the above named child by court order and that my child is physically able to participate in the described activities. I have carefully read this Release Agreement and fully understand its contents. I am aware that this is a release of liability contract between The Columbus Museum and myself, and I sign it of my own free will.

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