Kids Era! Booking and Indemnity Form

Kids Era!

Party Venue Booking and Indemnity
Personal Details

Details of responsible person
Your personal information will be kept secure and will not be shared with anyone.
Name:*

PrefixFirst NameMiddle NameLast Name
ID Number:*
This information is required for the indemnity. Your information will not be shared with anyone.
Telephone Number:*
Please enter a valid phone number.
Email:*

Confirmation Emailexample@example.com
Address:*

Street Address

Suburb

CityState / Province

Postal / Zip Code

Indemnity
I, {name58}, Id number {idNumber}, hereby indemnify having an event hosted at Kids Era Party Venue on {bookingDate264} from {eventStart} to {eventEnd}.

Kids Era Party Venue, their employees, owners, members, visiting lecturers, consulting staff, other guests, guides, sponsored affiliates and their personnel, do not accept responsibility for any loss, injury, illness, damage, accident, fatality, equipment failure, including but not limited to inclement weather and cancellations, to any person, dependant thereof or property, arising from any cause whatsoever during the duration of the above function or any activities associated with the above function howsoever arising.

I the undersigned, confirm that I have read and understand the above.

Dated at City* on Date* .

Signature*
{name58}