Knock Knock Children's Museum 2026 Health and Liability Form

Knock Knock Children's Museum 2026 Health and Liability Form

Please fill out the following information for health and safety purposes.
Child Information
Child's Name*

First NameLast Name
Age*
Starting Date of Crash Creatives *

MonthDayYear
Date
Parent/Guardian(s) Information
Parent/Guardian 1 Information*
I consent to receive marketing emailsI do not consent to receive marketing emails
Parent/Guardian 2 Information
Additional Person Authorized for Pick Up
Parent/Guardian 1Parent/Guardian 1Additional Authorized PersonOther
"Other" Primary Emergency Contact Information
Health & Safety Information
Medican Release Information*
YesNo
If yes, please describe below.
I grant Knock Knock Children’s Museum ("Museum"), its representatives, employees, and authorized media partners the unrestricted right to capture, use, reproduce, and distribute photographs, audio, and/or video recordings of my child taken during Camp activities. These materials may be used for promotional, educational, and marketing purposes in various formats, including but not limited to Museum websites, social media, printed materials, newsletters, and public relations campaigns. I understand that these images or recordings will be the property of the Museum and that no compensation will be provided for their use.I do not grant Knock Knock Children’s Museum, its representatives, employees, or authorized media partners permission to capture or use photographs, audio, and/or video recordings of my child for any purpose. I understand that my child may be included in group photos taken for internal use (e.g., classroom documentation) but will not be featured in external promotional materials.
Waiver and Release of Liability

I, the undersigned parent or legal guardian, grant permission for my child to participate in activities presented at the Knock Knock Children’s Museum. I understand and acknowledge that participation in activities may involve inherent risks, including but not limited to physical activity, outdoor play, and interactions with other children.

In consideration of my child’s participation, I, on behalf of myself, my child, and our respective heirs, assigns, and legal representatives, hereby release, waive, discharge, and hold harmless Knock Knock Children’s Museum, its officers, employees, agents, volunteers, BREC, and any affiliated entities (collectively, "Released Parties") from any and all liability, claims, demands, actions, or causes of action, including those arising from negligence, that may arise out of or relate to any injury, illness, loss, or damage occurring during or in connection with my child's participation in Museum activities.

I acknowledge that in the event of a medical emergency, Knock Knock Children’s Museum staff will make reasonable efforts to contact me and/or the listed Emergency Contact. If I or my Emergency Contact cannot be reached, I authorize Knock Knock Children’s Museum staff to seek and consent to medical treatment for my child as deemed necessary by qualified medical personnel, and I assume full financial responsibility for any medical expenses incurred.

I understand and agree that:
- Knock Knock Children’s Museum staff do not administer medication.
- The Museum reserves the right to remove any child from the program if they exhibit behavior that is disruptive or unsafe, after reasonable redirection efforts.
- Persons authorized to pick up my child must present a valid state-issued ID.
By signing below, I confirm that I have read, understand, and voluntarily agree to the terms of this waiver.
Signature*

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Knock Knock Children's Museum 2026 Health and Liability Form

Child Information

Parent/Guardian(s) Information

Health & Safety Information