Little Rainbows Play Place Waiver

In consideration of being allowed to enter the play area and/or participate in any party and/or program at Little Rainbows Play Place, the undersigned, on his or her behalf, and on the behalf of the participant(s) identified below, acknowledges, appreciates, and agrees to the following conditions:

I represent that I am the parent or legal guardian of the participant(s) named below, or I have obtained permission from the parent/legal guardian of the participant(s) named below to execute this agreement on their behalf. I agree that the participant(s) named below and I shall comply with all stated and customary terms, posted safety signs, rules, and verbal instructions as conditions for participation in any party and/or program at Little Rainbows Play Place. In addition, if I observe any hazard during our participation, I will bring it to the attention of the nearest Little Rainbows Play Place employee or official immediately. I understand that I am responsible for my child’s safety and behavior at all times during each visit.

I am aware that there are inherent risks associated with participation in Little Rainbows Play Place programs and parties and I, on behalf of myself and the participant(s) named below, knowingly and freely assume all such risk, both known and unknown, including those that may arise out of the negligence of other participants; and,

I, for myself and the participant(s) named below, and our respective heirs, assigns, administrators, personal representatives, and next of kin, hereby release and hold harmless, Little Rainbows Play Place LLC, and Little Rainbows Play Place management, their affiliates, officers, members, agents, employees, other participants, and sponsoring agencies from and against any and all claims, injuries, liabilities or damages arising out of or related to our participation in any and all Little Rainbows Play Place programs, activities, parties, and the use of the play area.

I acknowledge Little Rainbows Play Place may photograph or otherwise record events or activities and such photographs or recordings may include myself and the participant(s) named below. I grant Little Rainbows Play Place a royalty-free, non-exclusive, and irrevocable license to reproduce, publish, or otherwise use such photographs or recordings, which may be edited or modified, in Little Rainbows Play Place's advertisements, promotions, displays, marketing, or for other such purposes.

By signing this document, you may be waiving your legal right to a jury trial to hold the provider legally responsible for any injuries or damages resulting from risks inherent in the sport or recreational opportunity or for any injuries or damages you may suffer due to the provider's ordinary negligence that are the result of the provider's failure to exercise reasonable care.

Child 1 First & Last Name

Child 2 First & Last Name

Child 3 First & Last Name

Child 4 First & Last Name

Child 5 First & Last Name

Child 1 Date of Birth

Child 2 Date of Birth

Child 3 Date of Birth

Child 4 Date of Birth

Child 5 Date of Birth

Please enter the full names AND birthdays of any additional children

Parent/Guardian Information

First Name

Last name

Date of Birth

Relationship to Above Child(ren)

Address

Phone

I want to receive information, news, and discounts by email

Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.

By signing below, the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.

Signature

Thank you for completing our waiver!

We hope you enjoy your visit to

Little Rainbows Play Place!

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