Indoor Playground Waiver Form
Please complete this waiver before participating in any indoor playground activities.
Date
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Month
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Day
Year
Date
Parent/Guardian Full Name
First Name
Last Name
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Participants
*
Waiver and Release of Liability Agreement:
I, the undersigned, acknowledge and agree that participation in activities at the indoor playground involves inherent risks, including but not limited to physical injury. I hereby release the indoor playground, its owners, staff, and affiliates from any and all liability for injuries or damages that may occur during participation. I confirm that I have read and understood the rules and safety guidelines provided. By signing below, I acknowledge and accept these terms.
Signature of Participant or Parent/Guardian
*
Calculation
Submit Waiver
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Should be Empty: