Fusing / Slumping Waiver Form
1. Fusing involves the handling and cutting of cold glass. By signing below, you are agreeing that
you are aware that all glass has the potential to be sharp and could cut or poke you and will
exercise caution when handling glass.
2. Gloves are available to fused glass students and it is recommended that you use them when
cutting or handling glass.
3. Masks will be provided. All participants must wear a mask when using glass powder in their
projects as the powder is fine and may become airborne when being transferred or disturbed.
4. Eye protecting is provided. It is extremely important that you wear eye protect when you are
cutting glass or are in the close proximity of someone cutting glass.
5. The fusing studio is open to students who are 10 years old and up. All students under the age of 18 must be accompanied by an adult.
6. A safety talk will be provided at the beginning of your class. Please do your best to limit distractions and give your full attention to this information.
PARENT/GUARDIAN AUTHORIZATION:
I have read and understand that my minor will be participating in and around all of the elements described above. I believe my minor has the physical, mental and emotional ability and maturity to handle the elements described and to work with satisfactory caution and safety in, near, around and with all tools, equipment, machinery and glass, whether hot or cold. I authorize my minor to work at the glassblowing studio and to participate in glassblowing, fusing or flameworking. I am aware of the high
risks associated with glassblowing, fusing or flameworking and with working in a glassblowing studio including outdoor areas; I will not hold Blackstone River Glass, LLC. liable for injury to my minor or damage to my minor's personal property. I also certify am the legal guardian of the participant.
Liability Release & Indemnity
I agree that BRGC LLC and its respective employees, directors, officers, volunteers, members, instructors, students and other participants (hereinafter, the "Released Parties") shall not be liable or responsible for injury to me (including paralysis or death) or damage to my property occurring during any BRGC LLC activities and resulting from acts or omissions occurring during the performance of the activities of the Released Parties, even where the damage or injury is caused by negligence (except willful neglect), including enroute to and from any class or event.
I understand and agree that I am participating voluntarily and at my own risk in all BRGC LLC activities and I assume all risks of injury and damage arising out of such activities. I release and hold the Released Parties harmless from any injury or loss to my person or property which may result from my participation in BRGC LLC activities and events. I further promise to bind myself jointly and severally, my heirs, administrators, and executors to repay the Released Parties any sum of money that they may hereafter be compelled to pay on behalf of myself.
I understand and agree that the instructor has the right to end the class session at any time, for any reason. Instructor will do so when, in his/her sole opinion, it would be unsafe to continue with the instruction. Instructor shall also have the right to terminate any individual's participation if, in the instructor's sole opinion, said person is acting in a manner hazardous to others.
I agree to not initiate any claim, lawsuit, court action, or other legal proceeding or demand against BRGC LLC or Released Parties, nor join or assist in the prosecution or any such claim for money or other damages which anyone may have, on account injuries (including death), losses, or damages sustained by me or other parties in connection with my participation in the Activity, and I waive any right I may have to do so. I waive my insurers' right to make a claim against BRGC LLC or Released Parties based on payments by insurers to me or on my behalf for any claims filed. This means my insurers have no rights of subrogation against BRGC LLC or Released Parties.
I agree to assume all financial responsibility for any medical, rescue or other expenses that I may incur or may be incurred on my behalf and agree to defend, hold harmless and indemnify BRGC LLC, its Released Parties for any loss or damage, including attorneys* fees, that they may suffer should I or anyone else on my behalf pursue an action or claim that is waived or barred by this release, waiver of liability and assumption of risk declaration or any other claim by or on behalf of me arising out of the Activity.
I understand BRGC LLC often photographs and/or makes other recordings of events occurring in the studio. Studio users expressly consent to their image, likeness, and voice being so captured and authorizes BRGC LLC to use said material for any purpose including all commercial, publicity and fundraising purposes. Studio users waive all claims for remuneration for said use whether based on invasion of privacy or any other reason.
In the instance that you have an allergy to dogs, we do like to make all students aware that we do have employee dogs at the studio from time to time. Â
I fully understand and agree to the statement above and release liability and I further agree to waive all benefits flowing from any state statute that would negate or limit the scope of this release.
By signing this release, I certify that I have read this release and fully understand it and that I am not relying on any statements or representations made by the Released Parties.