Liability Waiver Form

Liability Waiver

By signing this form, you agree to release Jojo's Playhouse from any liability in the event of injury.
Guardian's Full Name

First NameLast Name
Child's Full Name

First NameLast Name
Child's Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address
example@example.com
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty: