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About
About Us
Independent Artists
Our Services
Events
FAQs
Blog
Contact
Gift Cards
Parent’s Night Out Waiver
Parent's Night Out Waiver
Name
(Required)
First
Last
Phone
(Required)
Child's Name and Age
(Required)
Child's Name and Age
Child's Name and Age
My Child/Children have the following medical conditions or allergies.
(Required)
My child/children have no medical conditions or food allergies
My child/children have the following food allergies.
My child/children have the following medical conditions.
Please list any medical or food allergies here.
Consent
(Required)
Parent's Night Out will take place on April 26th between 6 pm and 9 pm. All children should be picked up by 9 pm or a late fee may be applied. Additionally, we need to know if there are any medical conditions or allergies that could impact your child while in our care. Our paints are non-toxic and gluten free; however, acrylic paint does not come out of clothing. We will provide aprons or ponchos but highly recommend you dress your children suitably in old clothing in the event paint does get on their clothing. We also ask that they wear closed toe shoes while in the studio. We look forward to sharing a night of art and fun while you have a chance to sneak off and have a date night or night out. We will provide a pizza dinner, snacks, beverages and plenty of activities to keep your creative children occupied. As we are staffing and planning activities and materials according to the number of registrations, all ticket sales are final with no refunds; however, if you are unable to attend, we will provide a class credit to be used within 30 days of purchase.
I hereby allow my child/children to participate in the Uptown Paint and Sip “Parents’ Night Out” and assume all risks and, in consideration of his/her participation in said program do hereby waive and release all claims arising as a result of personal injures or property loss during the program. I furthermore authorize the staff program in the event of illness or injury to administer emergency care and to arrange for any medical transportation to the nearest heath care facility deemed appropriate. I understand every effort will be made to contact the parent or guardian prior to any involved treatment. I grant permission to a qualified physician and /or other medical personnel to furnish medical care using the above guidelines while my child/children attend Uptown Paint and Sip's “Parents’ Night Out”. I also agree that my insurance carrier or I will bear the financial responsibility for any medical treatment administered under the above guideline.
I agree to the terms and conditions and have provided all necessary information relevant to my child's health and safety.
Signature
(Required)
5137