Morris Museum of Art

PAYER INFORMATION

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone: *

Email: *

A receipt will be emailed to this address.

Safety Release: *

I hereby assume all of the risks of participating in any/all activities associated with the Pumpkin Carving Workshop, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault. I (Parent/Guardian on behalf of minor) waive, release, and discharge from any and all liability including but not limited to, liability arising from the negligence or fault of the entities or persons released, for death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur including traveling to and from this activity. indemnify, hold harmless, and promise not to sue the directors, officers, employees, volunteers, representatives, agents, activity holders, and sponsors, from any and all liabilities or claims made as a result of participation in this activity whether caused by negligence or otherwise.

Photo Release: *

I authorize the Morris Museum of Art to publish (and/or use in motion pictures or videotapes) photographs that are taken during activities sponsored by the Morris Museum of Art. I further authorize the modification or retouching of such photographs as may be required for publication. I relieve and hereby agree to hold the Morris Museum of Art harmless from any and all liability arising out of the publication or broadcasting of this photograph.