I realize that there are dangers inherent in glassblowing, glass working, and other related activities, and that mortal or serious personal injuries and property damage, including (but not limited to) physical effort, cuts, burns, inhalation of hazardous substances, and/or exposure to UV light, may occur from my participation in such activities.

I assume full responsibility for the risk of personal injury, death, and property damage due to the negligence and/or fault of the parties released by this document, and/or due to the condition of the premises on which the activities will take place, whether such negligence, fault, and/or condition of the premises is present at the signing of this agreement or takes place in the future.

On my own behalf and on behalf of my heirs, personal representatives, and assigns, I hereby release Greenwood Glass Blowing Studio/Gallery and all of their officers, directors, members, managers, partners, employees, and volunteers (collectively, "the parties released by this document") from all claims, demands, actions, rights of action, or other legal rights to claim compensation for any loss or injury which I may sustain as a result of their negligence or fault, or the condition of the premises, or any other cause whatsoever, whether loss or injury occurs while participating in, going to, or coming from such activity.

Further, I agree to indemnify and hold all parties released by this document harmless from any such claims or demands.

I expressly agree that this waiver and release agreement is intended to be as broad and inclusive as permitted by the Laws of the State of Connecticut and of any other state wherein such activities may occur, and that if any portion hereof is held invalid, the remainder hereof shall continue in full force and effect.

This Agreement contains and embodies the entire agreement and understandings between the parties concerning the subject matter hereof.


Signature:_________________________________________________ Date:______________

Address: _____________________________ Town:______________________ State:________

Phone: ___________________________________

Print name:_________________________________ Age: under 18 19-40 41-60 60+

Optional Email: _______________________________________________________

If participant is under the age of 18, parent or guardian must sign as well.

Signature:_________________________________________________ Date:______________

Print name:________________________________________________