Register for Adult Glass on Wednesday evenings 6:30-9:30pm Name * First Name Last Name Email * Phone (###) ### #### Start Date * Please select the Wednesday you'd like to begin your class MM DD YYYY Liability Waiver * I acknowledge and fully understand that I/my child will be engaging in physical activities that may involve some risk of injury. I acknowledge and have been advised that it is my responsibility to consult with my/my child’s physician with respect to any past or present injury, illness, health problem or any other condition or medication that may affect my/my child’s participation. I assume the foregoing risks and accept full personal responsibility for any personal injuries sustained by myself/my child which might incur as a result of participating in this program and discharge and hold harmless Stern Glass Works, LLC, their owners, directors, members, employees and agents from any claim, cause of action or liability for damages arising from any personal injury to me/my child or other persons or property caused by my participation in the Stern Glass Works, LLC. Inclusivity Agreement * Stern Glass Works is a community space. We will not tolerate hateful comments or actions. If you are deemed harmful to others you will be asked to leave the class with no refund. It is the prerogative of a Stern Glass Works employee to decide when someones actions are deemed harmful. Refund Policy * Full refunds will be given up to one week before the start of the program or if registration is cancelled by Stern Glass Works,LLC. If you request a refund before the first day of class but after the one-week mark, Stern Glass Works, LLC will retain a $50 processing fee. ABSOLUTELY NO REFUNDS WILL BE GIVEN AFTER THE START OF THE CLASS. Personal Belongings * In addition, we understand Stern Glass Works, LLC is not responsible and are held harmless for damage or loss of money, jewelry, equipment, clothing or other personal articles. We understand that valuable items are brought to Stern Glass Works, LLC at our own risk Photo & Video Release * By entering Stern Glass Works, all visitors and participants grant Stern Glass Works the right to photograph, videotape, and/or record their image and likeness. These materials may be used in perpetuity for promotional, educational, or commercial purposes in any media format—including but not limited to websites, social media, printed materials, and advertising—without compensation or further permission. Instagram Please provide your instagram if you'd like to be tagged in photos Facebook Please provide your facebook address if you'd like to be tagged in photos Thank you!