Waiver Form

Prior to your party, we ask you and your invited guests to sign a waiver.  You can do this online below.

Please read, initial, and sign the form below. Or you may print by clicking here: 

 

DATE OF PARTY:  

 

1. Voluntary Participation. I, the undersigned (“Participant”), as the parent or legal guardian of the minor child listed on this application,                                                                                                                                                          , acknowledge that I have voluntarily applied for the child to participate in the beading party or workshop(s) (“Activities”) by The NayaNicole Collection at the premises of the designated party host (“Party Host”).

 

2. Party Host Indemnification Clause (if applicable). Under the performance of this Agreement, the undersigned Party Host shall indemnify, hold harmless, and defend The NayaNicole Collection, their respective employees, agents or administrators, successors, and assigns, from any and all claims, demands, causes of action, damages, costs, or liabilities, in law or in equity, of every kind and nature whatsoever, indirectly or directly resulting or caused by The NayaNicole Collection Activities. In the event a Participant fails to sign this Agreement, Party Host is bound by this clause, and shall reimburse The NayaNicole Collection for any and all expenses incurred in connection therewith; provided that, Party Host has adequate notice of such action and an opportunity to defend.

The NayaNicole Collection shall not be indemnified under this Section for liability or loss resulting from its own gross negligence or willful misconduct.

 

Use Your Mouse to Initial in the Box Below:

 

3. Assumption of Risk. I AM AWARE THAT PARTICIPATING IN BEADING ACTIVITIES MAY BE HAZARDOUS DUE TO POSSIBLE INGESTION, INJURY OR ANY OTHER FORESEEABLE OR UNFORESEEABLE RISKS TO THE STATED MINOR, MYSELF AND/OR MY PROPERTY. I VOLUNTARILY AUTHORIZE THE STATED MINOR’S PARTICIPATION IN THESE ACTIVITIES WITH FULL KNOWLEDGE OF THE POTENTIAL DANGERS INVOLVED.

I HEREBY AGREE TO ACCEPT ANY AND ALL RISKS INCLUDING BUT NOT LIMITED TO PERSONAL OR REAL PROPERTY DAMAGE, INJURY OR DEATH OF STATED MINOR, AND VERIFY THIS STATEMENT.

 

Use Your Mouse to Initial Below:

 

 

4. Release of Liability. As consideration for being permitted by The NayaNicole Collection to participate in these activities, use related facilities and beading equipment, I hereby agree that I, my assignees, heirs, distributees, guardians, and legal representatives will not make a claim against, sue, or attach the property of The NayaNicole Collection on account of any personal or real property loss or damage, nor any claims or demands therefore on account of injury to the person or death of Stated Minor. This is true whether such damage is caused by the negligence of employees, agents, relatives, third party contractors (collectively “Employees”) of The NayaNicole Collection while the Stated Minor is in, upon, or about any premises under The NayaNicole Collection’s control. This includes, but is not limited to, all liability for damages or injury resulting from the active or passive negligence of The NayaNicole Collection and Employees while the Stated Minor is under its care. I hereby release, discharge, and agree to indemnify The NayaNicole Collection from all actions, claims, damages, costs or demands that I, my assignees, heirs, distributees, guardians, and legal representatives now have or may have for any of the loss or damage mentioned above arising or resulting directly or indirectly from the Minor’s participation in the activity.

 

Use Your Mouse to Initial in the Box Below:

 

5. Personnel Policies. To the extent that The NayaNicole Collection deems necessary, a safety talk about the proper handling of equipment will be given prior to beginning the activity. Employees will reasonably supervise participants during the contracted activity duration. It is further warranted that such participation and use of any equipment constitutes an acknowledgment that such beading equipment and activity tools thereon have been inspected and that said equipment is being safe and reasonably suited for such intended use. The primary concern of The NayaNicole Collection is personal safety and the capability of all children under its care to be able to control one’s body.

Understanding this, I state to the best of my knowledge, the Stated Minor has no medical, physical, mental, or emotional health conditions that would hinder his/her participation in Activities.

 

Use Your Mouse to Initial in the Box Below:

 

 

 

6. PERSONAL IMAGE AND VIDEO RELEASE. As a Participant, I hereby give my consent for The NayaNicole Collection to use either my, or the Stated Minor’s photograph, silhouette, likeness, recorded voice, performances, poses, acts, and appearances in its publications. This use includes but is not limited to The NayaNicole Collection’s website, advertisement video, unlimited distribution and any other reproduction. The NayaNicole Collection promises to not identify children in any way.

Accordingly, I agree that I will not assert or maintain against The NayaNicole Collection, its successors, assigns and licensees, any claim, action, suit or demand of any kind or nature whatsoever, including but not limited to, those grounded upon invasion of privacy, rights of publicity, expectation of confidentiality, copyright ownership and/or other civil rights, or for any other reason in connection with the authorized use of the undersigned physical likeness and sound as herein provided. 

 

Use Your Mouse to Initial in the Box Below for Personal Image and Video Release Consent:

 

 

If you do not want the Stated Minor’s picture taken and published please feel free to opt-out by checking this box:  

7. Knowing and Voluntary Execution. I HAVE CAREFULLY READ THIS RELEASE AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN THE NAYANICOLE COLLECTION AND ME AND I SIGN IT AT MY OWN FREE WILL.

 


Signature - Use Your Mouse to Sign Below:

 

 

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