SUMMER JAM 2023!
For Summer Weekend Jam
August 11-13 at the Berkeley Finnish Hall 
More details about the jam here: https://www.facebook.com/events/5672083669559884?active_tab=about

Please complete the fields below. Your registration is NOT COMPLETE until you have sent payment via Venmo @senseobject, Zelle or Paypal to contactsenseobject@gmail.com, or send a check to "Sense Object" at 1970 Chestnut St. Berkeley CA
$60 by June 15
$80 by July 15
$100 by August 6
$150 week of the jam
$200 days of / at the door

Sign in to Google to save your progress. Learn more
Email *
Your Name *
Your email *
Please read the Participant Waiver and sign below.

I (Participant) hereby indemnify and hold Sense Object (Organization), harmless against all liability and claims of liability for injury or damage to person or property from any cause related to activities as a volunteer or participant in activities of Organization. Participant waives all claims against Organization for such injury or damage, provided, however, that Organization shall remain liable (and Participant shall not indemnify and defend Organization
against such liability or waive such claims of liability) for injury or damage due to the grossly negligent or intentional acts or omissions of Organization or Organization’s volunteers, agents or employees.
I hereby agree that participation in the Organization’s activities are voluntary and at my own risk. I waive any claims against Organization and Organization’s Members, officers, agents and employees (“Related Parties”) and promise not to sue the Organization and Related Parties for any claims related to any loss, damage or injury suffered by Participant.

If you agree to the above, enter your first and last name. Please note that this serves as your signature.  
*
Emergency Contact Name and Phone number
Any Food Restrictions
Clear selection
Work Exchange (WEX) is currently overfull.  Please check below if you are hoping to WEX... we'll do our best! 
Please share any access needs:
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy