Safety Waiver and Release of Liability

The HUB NWI

*Where Art and Technology Intersect*

This waiver must be completed, signed, and submitted before using any tools, equipment, or

facilities at The HUB NWI Makerspace. Your safety is our priority, and this waiver ensures you

acknowledge the inherent risks and agree to follow our policies and procedures.

Participant Information

Name: __________________________________________

Date of Birth: ____________

Phone: __________________________________________

Email: __________________________________________

Emergency Contact Name: __________________________________________

Emergency Contact Phone: __________________________________________

Acknowledgment of Risks

I understand that using tools, machinery, and equipment in a makerspace environment involves

-- Cuts, burns, or other injuries from sharp objects, heated surfaces, or tools.

- Injuries caused by improper use of machinery or equipment.

- Exposure to hazardous materials or substances.

- Slips, trips, or falls due to clutter or materials on the floor.

- Other unforeseen risks associated with creative and technical projects.

I voluntarily assume all risks associated with my participation in activities at The HUB NWI

Makerspace.

Waiver of Liability

I hereby waive, release, and discharge The HUB NWI, its owners, staff, volunteers, and affiliates

from any and all claims, liabilities, or damages arising out of or connected to my use of the

makerspace. This includes but is not limited to:

- Personal injury

- Property damage or loss

- Any other incidents or accidents

I understand that this waiver applies even if the injury or loss results from the negligence of The

HUB NWI or its staff.

Rules and Safety Compliance

I agree to follow all rules, policies, and procedures established by The HUB NWI, including:

- Completing required training before using tools or equipment.

- Wearing appropriate personal protective equipment (PPE).

- Avoiding the use of power equipment, tools, or hazardous materials while under the influence of

alcohol, drugs, or medications.

- Reporting any unsafe conditions, accidents, or equipment malfunctions to staff immediately.

Medical Treatment Authorization

In the event of an emergency, I authorize The HUB NWI staff or representatives to provide or obtain

medical treatment on my behalf. I agree to assume all financial responsibility for any medical

expenses incurred.

Minors (if applicable)

For participants under the age of 18, a parent or legal guardian must complete and sign this form.

Minors must be supervised by an adult at all times while using the makerspace.

Name of Minor: __________________________________________

Parent/Guardian Name: __________________________________________

Parent/Guardian Phone: __________________________________________

Signature

By signing this waiver, I confirm that I have read, understood, and agree to the terms outlined

above. I acknowledge that I am voluntarily participating in activities at The HUB NWI Makerspace

and accept full responsibility for my actions.

Participant Signature: _____________________________

Date: ____________

Parent/Guardian Signature (if applicable): _____________________________

Date:____________

The HUB NWI Staff Signature: _____________________________

Date: ____________

Thank you for helping us maintain a safe and creative environment!

For questions or concerns, please contact us at maker@thehubnwi.org.