Palmetto Proper LLC Waiver of Liability
All children visiting the indoor playground at Palmetto Proper LLC require a completed Waiver of Liability on file. Please complete this form separately for each attending child. Admission will not be permitted without a signed waiver.
Legal Guardian's Full Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Child's Full Name
*
First Name
Last Name
Child's Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
My signature below acknowledges my receipt and agreement in it's entirety of the Palmetto Proper LLC Waiver of Liability. If I or any of my children are injured in any way while on the premises of Palmetto Proper LLC, this waiver prevents and prohibits any recovery of money or damages from any Palmetto Proper LLC related entity.
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Should be Empty: