Workshop Registration Workshop Registration Thanks for signing up! Please answer these questions and complete the waiver to finalize your registration. "*" indicates required fields Step 1 of 2 50% HiddenParticipant Name HiddenProduct Name HiddenOrder ID Meal preference:VeganGluten-FreeNo restrictionsYour gender (for lodging purposes)MaleFemaleGender Non-conformingAllergies/Special Needs that we should be aware of:Emergency Contact Name* Emergency Contact Phone*Emergency Contact - Relationship to YouParentSpouseRelativeFriendOtherAnything else you'd like us to know?How did you hear about Peters Valley? Release/Consent This waiver is required for participation in Peters Valley School of Craft’s studio workshops. 1. COVID-19 AGREEMENTS IN SIGNING BELOW, you are agreeing on behalf of yourself and/or your minor child to the following: Between now and the date of your arrival at Peters Valley, You and/or your minor child have not been diagnosed with Coronavirus/COVID-19 or, if diagnosed, you and/or your minor child have been cleared as non-contagious by state or local public health authorities. You and/or your minor child are not experiencing any symptoms of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell, and if you experience any such symptoms between now and the date of your scheduled arrival at Peters Valley you will not travel to Peters Valley unless you and/or your minor child have been cleared by state or local health officials as non-contagious for Coronavirus/Covid-19. In the 14 days prior to your arrival at Peters Valley, you and/or your minor child will follow all CDC and State of New Jersey recommended or required guidelines including those regarding travel and quarantining to limit your exposure to and the spread of Coronavirus/COVID-19. You and/or your minor child have reviewed the measures undertaken by Peters Valley to attempt to reduce the spread of Coronavirus/COVID-19 and you and/or your minor child are able to and will comply with all set procedures to attempt to reduce the spread of the Coronavirus/COVID-19 while attending your class. Peters Valley reserves the right to ask anyone who Peters Valley staff determines, in their sole discretion, to be not complying with set procedures to immediately leave the program with no refund. 2. COVID-19 RELEASE of LIABILITY The coronavirus (COVID-19) has been declared a worldwide pandemic by the World Health Organization, can be extremely contagious and can spread from person-to-person contact. I acknowledge the contagious nature of the coronavirus and that many public health authorities recommend practicing social distancing and wearing masks. Peters Valley School of Craft has put in place several measures to attempt to reduce the spread of Coronavirus/COVID-19, as recommended and/or required by the CDC and the State of New Jersey. It is, however, impossible to eliminate all risk of infection or to control the behavior of all staff, instructors, or workshop participants. Therefore, there is still a risk that you could become exposed to and/or infected by Coronavirus/COVID-19 while on the Peters Valley campus. . I acknowledge that Peters Valley cannot guarantee that participants will not become infected with the coronavirus through use of the facilities. I understand that risk of becoming exposed to and/or infected by the coronavirus may result from actions, omissions or negligence of myself and my minor child and others including, but not limited to, independent contractors, community members and staff. IN SIGNING BELOW, you agree that you and/or your minor child are attending your workshop voluntarily and that you and/or your minor child are assuming all risk of contracting Coronavirus/COVID-19, including the risk of death from same, as a result of your and/or your minor child attending a workshop on the Peters Valley campus. You understand that you and/or your minor child could become exposed to and/or infected by Coronavirus/COVID-19 from the actions, omissions, or negligence of yourself or others, including, but not limited to, Peters Valley staff, instructors, or other Peters Valley students. You on behalf of yourself and/or your minor child hereby forever release and agree to hold Peters Valley School of Craft, Inc. and its directors, officers, employees and independent contractors harmless from, and waive on behalf of yourself, and/or your minor child ,your heirs, and any personal representative, any and all causes of action, claims, demands, damages, costs, expenses, and compensation for damage or loss to yourself and/or your minor child and/or property relating to any such actions, omissions, or negligence. In signing below, you acknowledge that you understand that this release discharges Peters Valley School of Craft, Inc. and its directors, officers, employees and independent contractors from any liability or claim, in perpetuity, that you and/or your minor child, your heirs, or any personal representative may have against any such parties with respect to any bodily injury, illness, death, medical treatment, or property damage related to Coronavirus/COVID-19 that may arise from, or connect to, your and/or your minor child’s participation in a program on Peters Valley’s campus. 3. GENERAL RELEASE OF LIABILITY The buildings at Peters Valley are located in what was the historic town of Bevans, now owned by the National Park Service, as such, Peters Valley combines both the beauty and rural nature of a historic village. While every effort has been made to make the space safe and accessible, most of the buildings are over 100 years old. The historic farmhouses used for dormitories are not handicapped accessible. Each house has two floors and has at least two steps leading up to the entrance. It is the participant’s responsibility to take into account safety hazards introduced by the natural environment of Peters Valley and the National Park, and any weather conditions during their stay. Depending on the season, decks and paths are occasionally slippery due to dew, mud, and rain. Additionally, while students will be trained in safe and proper use of studio equipment at Peters Valley, participation in the use of any of the equipment on the premises is solely at the risk and liability of the participant (or parent/legal guardian if under the age of 18). IN SIGNING BELOW, you acknowledge that you understand the nature of Peters Valley’s facility, and on behalf of yourself and/or your minor child agree to assume the risk of any injury that may occur due to rough terrain, weather considerations, facility conditions and participation in studio activities while at Peters Valley. You also understand that you and/or your minor child may be included in candid photographs taken at Peters Valley, which may be used for marketing purposes. 4. PERMISSION FOR MEDICAL TREATMENT In the case of a health emergency or serious injury, if you are not able to communicate clearly the signer gives Peters Valley and the National Park Service permission to respond to a medical emergency. 5. CHOICE OF LAW: I understand and agree that the law of the State of New Jersey will apply to this contract. I HAVE CAREFULLY READ AND FULLY UNDERSTAND ALL PROVISIONS OF THIS RELEASE, AND FREELY AND KNOWINGLY ASSUME THE RISK AND WAIVE MY RIGHTS CONCERNING LIABILITY AS DESCRIBED ABOVE. SignatureYour Full Name* PhoneThis field is for validation purposes and should be left unchanged. Δ