I, and on behalf of my participating minor child(ren), hereby agree to release and discharge The Kiddie Clubhouse LLC, including any of its officers, members, owners, employees and representatives from any and all claims, charges, demands, damages, injuries, causes of action and attorney's fees, whether known or unknown, including foreseen or unforeseen bodily injury, personal injury, dealth, property theft and property damage that may be sustained by my child(ren) or any other person in any way connected to, related to, or arising out of my child(ren)'s participation in the activities offered by The Kiddie Clubhouse LLC, regardless of any negligence of The Kiddie Clubhouse LLC.
I hereby indemnify and hold harmless The Kiddie Clubhouse LLC, its officers, members, owners, employees and representatives from any loss, liability, damage, or any cost that might be incurred during my child(ren)'s participation.
I warrant that I and/or my minor child(ren) are physically fit and have not been advised to refrain from any physical activity by any medical professsional; I further warrant that there are no health-related reasons or problems which preclude me and/or my minor child(ren)'s participation in any physical activity.
I understand my responsibility in allowing my minor child(ren) to engage or participate in the activities at The Kiddie Clubhouse facility, or make use of or access its jungle gym structure and other equipment with underlying risks which could result in, but not limited to, skin lacerations, broken bones, illness or other serious injuries that may not be due to any fault of The Kiddie Clubhouse LLC. It is my responsibility to monitor my child(ren) at all times while at The Kiddie Clubhouse to ensure my child(ren) are using all equipment in the manner for which it was reasonably intended and following all posted rules and regulations.
I acknowledge that the CDC, the State of New York and other public health authorities have confirmed the contagious nature of COVID-19 and that there is an inherent risk of exposure to COVID-19 in any place where people are gathered. I understand that the Kiddie Clubhouse LLC has taken safety precautions to reduce the risk of spreading COVID-19, however they cannot guarantee that I will not become infected with COVID-19. I understand the risk of becoming exposed to and/or infected by COVID-19 may result from the actions, omissions, or negligence of myself or others around me.
I hereby consent for myself and my minor child(ren) to receive medical treatment which may be advisable in the event of injury, accident and/or other illness resulting from the participation of my minor child(ren) while at The Kiddie Clubhouse facility.
I acknowledge that The Kiddie Clubhouse LLC takes pictures from time to time to use for advertising (emails, website, social media, etc..) which may include my likeness or the likeness of my minor child(ren). On behalf of myself and my participating minor child(ren), I hereby agree to such photographs being used for such purposes. I agree that the actual material involved is and shall remain the property of The Kiddie Clubhouse LLC, and that I shall not have the right of review or approval regarding the use of such images in such materials. I further understand and agree that neither I or my minor child(ren) be compensated in any way for the use of such images.
By signing this form, I acknowledge that I have had the opportunity to understand the entire content. Any concerns, as well as those which were unclear to me, were explained to me properly and to my satisfaction. I understand that this is a release of liability and is a legally binding agreement and that my signing of this document is of my free act and deed. This agreement shall apply to all of my minor child(ren)'s future visits to The Kiddie Clubhouse LLC.