As Consideration for being allowed to enter the classroom area, shop area and/or Participate in any
party and/or program at Bit Space the undersigned, on his or her behalf, and on the behalf of the
Participant(s) identified below, acknowledges, appreciates, understands, and agrees to the
- I represent that I am the parent or legal guardian of the Participant(s) named on these forms or
I have obtained permission from the parent/legal guardian of the Participant(s) named on these
forms to execute this agreement on their behalf.
- I acknowledge and understand that there are known and unknown risks associated with
participation in Bit Space activities and the use of the shop area, classroom area and any and
all other Bit Space equipment, including but not limited to the CNC machine, laser cutter,
power, cutting and drilling tools (including, but not limited to drill press, various saws,
hammers, wrenches, screwdrivers, etc.) and open play at nearby parks, which include but are not
limited to: contusions, fractures, scrapes, cuts, bumps, paralysis, or death. I understand that
in any class or activity my child may use inherently dangerous tools, equipment, machines,
chemicals or substances. I agree that my child will attend the safety orientation at the
beginning of class and will not use equipment or materials without familiarizing themselves with
their safe use under the supervision of a Bit Space employee. I will educate and inform myself
and my child on the inherent dangers and risks that are associated with participation in that
particular class. I will inspect the facility and equipment to be used, and if I believe
anything is unsafe, I will immediately advise Bit Space Management of such condition. Risks of
this nature could lead to illness, serious injury or even death.
- I am aware that my child’s own behavior can affect his/her personal safety and the safety of
others involved in Bit Space, LLC’s classes and activities. He/she will act according to Bit
Space, LLC’s policies as described in the information presented in the safety orientation. I
understand that failure to comply may result in my child’s dismissal from Bit Space, LLC’s, at
its discretion and my expense.
- I, for myself and the Participant(s) named, willingly assume the risks associated with
participation and accept that there are also risks that may arise due to OTHER PARTICIPANTS
which I also willingly assume.
- I agree that the Participant(s) named, and I shall comply with all stated and customary terms,
posted safety signs, rules, and verbal instructions as conditions for participation in any
classes, camps, parties and/or any other classes or events at Bit Space.
- I, for myself, the Participant(s) named, our heirs, assigns, representatives, and next of kin
agree to hold harmless, release, waive and indemnify the independent owner of this Bit Space
facility, LLC, their predecessors, parent, subsidiaries and affiliates, officers, and employees
from any and all injuries, liabilities or damages from participation, except for those arising
from the gross negligence or willful misconduct of Bit Space.
- I additionally agree to indemnify the independent owner of this Bit Space facility, LLC, their
predecessors, parent, subsidiaries and affiliates, officers, and employees for any defense cost
or expense arising from any and all claims, injuries, liabilities or damages arising from
participation, except for those arising from the gross negligence or willful misconduct of Bit
- My child is of physical ability to participate and I am legally competent to understand and
complete this agreement on behalf of participant(s) as his/her legal guardian or parent . I
hereby execute this agreement without coercion.
- The invalidity or unenforceability of any provision of this Agreement shall not affect the
validity or enforceability of any other provision of this Agreement, which shall remain in full
force and effect.
- Any controversy, dispute, or claim arising out of or related to this Agreement, which the
parties are unable to resolve by mutual agreement, shall be settled exclusively by submission by
either party of the controversy, claim or dispute to binding arbitration; said arbitration to
take place exclusively before a single arbitrator located within 25 miles of the Event location
and in accordance with the rules of the American Arbitration Association then in effect.
I have carefully read this consent form, have been given the opportunity to ask questions and fully
understand its contents. No representations, statements, or inducements, oral or written, apart from
this form, have been made. My agreement to the provisions in this form is voluntary. I am aware that
this is a release of liability and a binding contract between myself and Bit Space, LLC, and I sign
it of my own free will. This agreement will become effective on its receipt by Bit Space, LLC and
will be governed by the laws of the State of Illinois. To the extent any provisions of this document
are found to be invalid, all other provisions within this agreement shall remain in effect.
Parent/Legal Guardian Declaration
I am the parent or legal guardian of the named applicant(s), have read the Consent Form, and will
be legally responsible for the obligations and acts of the applicant as described in this form,
and agree, for myself and for the applicant, to be bound by its terms.
I have made my own investigation and inspection of the facility and equipment to be used and am
willing to accept the above described risks.
As part of daily programming, your child(ren) may attend a daily field trip, weather permitting,
to a nearby park. We will travel to and from the park on foot. Your initials serve as permission
for your child(ren) to travel with the Bit Space staff for the purposes of this field trip.
Photography and videos are periodically taken of participants during programs, special events,
trips, or at Bit Space. These photographs may be used in Bit Space publications, social media,
blogs, websites, or local newspapers.
You may opt out of this clause.
By providing your Email address you acknowledge we may send you e-mail including discount offers,
special events, and Bit Space news.
You may opt out of this clause.