Register Step 1 of 2 50% Hello thank you for visiting The Poppet Project! Please take a moment to register and sign the release on the next page. Parent Name* First Last Phone*Email* Childs Name and Age* Any Allergies?* Emergency Contact* First Last Emergency Contact Phone Number*Pediatrician Phone Number* Please carefully read the RELEASE below. We encourage you and your child to explore, create and have fun and at all times your safety and theirs is our utmost concern. Release Ability to engage in art activities and assumption of the risk: Studio activities, including but not limited to paints, glues, pastels, chalk pastels, pencils, wood/plaster tools, fiber (yarn/fabric/papers), wax, scissors, plastic bags, batik dye, Borax, plaster, food coloring, drawing and sculpting. The Poppet Project takes all possible precautions to reduce risk and provide safe, healthy, and enjoyable experiences. I acknowledge that risks from participation in studio activities exist and that I have allowed my child to participate knowing these risks and their possible consequences including personal injury or allergy. Waiver and Release of Liability: As a parent or guardian of the visiting child/children, I agree that I will not hold The Poppet Project liable for any personal injury, property damage or loss of insurance. I agree to release and hold harmless The Poppet Project from all liability incurred as a result of my child’s participation in studio class and that these terms serve as a release for myself, volunteers, property owners and members of my family. The Poppet Project is granted permission to use group or individual photographs or photo images taken during your visit for publicity or promotional purposes. Acknowledgment* I HAVE READ AND UNDERSTAND THIS AGREEMENT, AND I ACCEPT AND AGREE TO ALL OF ITS TERMS AND CONDITIONS. I ENTER INTO THIS AGREEMENT VOLUNTARILY, WITH FULL KNOWLEDGE OF ITS EFFECT. Date* By signing my name below, I certify that I have read the above information. Any questions concerning these policies have been discussed. My signature also certifies my understanding of and agreement with the above policies and RELEASE.* This iframe contains the logic required to handle Ajax powered Gravity Forms.