Admission Waiver
Guardian Name
*
First Name
Last Name
Guardian Birthdate (must be 18+)
*
-
Month
-
Day
Year
Date
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Mailing Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
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Arkansas
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Connecticut
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District of Columbia
Florida
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Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
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Child #1 Information
Child #1 Name
First Name
Last Name
Child #1 Birthday
-
Month
-
Day
Year
Date
Child #1 Gender
Female
Male
Child #2 Information
Child #2 Name
First Name
Last Name
Child #2 Birthday
-
Month
-
Day
Year
Date
Child #2 Gender
Female
Male
Child #3 Information
Child #3 Name
First Name
Last Name
Child #3 Birthday
-
Month
-
Day
Year
Date
Child #3 Gender
Female
Male
Child #4 Information
Child #4 Name
First Name
Last Name
Child #4 Birthday
-
Month
-
Day
Year
Date
Child #4 Gender
Female
Male
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How Did You Hear About Us?
*
Internet Search
Driving By
Friend
Instagram
TikTok
Facebook
Event or Business Card
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I will ONLY park in the highlighted GREEN parking spots! (M-F)
*
Yes, the row facing Nevada Street for parking!
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General Safety
My children will wear non-slip (grippy-bottomed) socks, or I understand I can buy them on-site. I acknowledge that admission will not be permitted without proper non-slip socks. I understand that barefoot is never permitted either.
*
Yes, grip-bottom socks understood!
For cleanliness purposes: Food and beverages are only permitted in the Party Hall (our colorful ceiling area) or The Front Lounge and never in the 'play areas'.
*
Totally, we all want a clean play area!
I acknowledge that Pretend Playland cannot guarantee an allergen-free environment. Nuts, latex, and other potential allergens may be present on site.
*
Yes, I do understand this.
I understand that Pretend Playland staff do not supervise my child. I, as their guardian, am fully responsible for their care. If I feel uncomfortable with other children, the toys, or the environment, I may choose to leave at any time. Pretend Playland and its team are not responsible for my child while on site.
*
Yes, my eye's will be on them at all times!
Happy play only! Keep hands and toys gentle, voices kind, and imaginations big. Pretend Playland staff may ask anyone to leave if play isn’t safe or respectful without a refund.
*
Yes, I will help create a kind environment!
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By signing my name below and clicking submit, I understand, acknowledge, and agree to everything in this form. I allow this waiver to be count as signed valid for twelve (12) months from this date.
*
Yes
Signature
*
Type First & Last Name Here
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