* NOTE: STITCHOLOGY STAFF CANNOT ADMINISTER ANY MEDICATIONS TO YOUR CHILD UNDER ANY CIRCUMSTANCES.

PARENTAL AUTHORIZATION

BY SUBMITTING THIS FORM I ACKNOWLEDGE:

NOTE: By completing this form I understand that I am entering into contract with Stitchology Sewing. I am reserving a class time for my child. I acknowledge that in the event that my child is unable to attend, the cost for the class is non-refundable.

I have read, I understand and I agree to the rules that have been set forth in this REGISTRATION FORM.

I indemnify and hold Stitchology and Jane Bessette harmless against claims and damages arising against Stitchology and Jane Bessette.

In the event of an emergency, I give my permission to have my child treated by medical personnel.

I understand that this program does not carry accident insurance and that I am financially responsible for any expenses for medical care or transportation incurred on my child’s behalf.

I give permission to have my child photographed / videotaped for publicity or news story purposes.