Play Participation Waiver
Please complete this form to acknowledge the waiver and participate in the play.
To help keep our space safe and enjoyable for everyone, a play participation waiver is required for all children visiting the Story Play Village. Waivers may be completed online in advance or at check-in before play begins. Completing the waiver once covers future visits.
Parent/Guardian Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Participant's Full Name
*
First Name
Last Name
Participant's Date of Birth
*
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Month
-
Day
Year
Date
Add another participant?
Yes
Additional Participant 1 Full Name
First Name
Last Name
Additional Participant 1 Date of Birth
-
Month
-
Day
Year
Date
Additional Participant 2
First Name
Last Name
Additional Participant 2 Date of Birth
-
Month
-
Day
Year
Date
Additional Participant 3
First Name
Last Name
Additional Participant 3 Date of Birth
-
Month
-
Day
Year
Date
Additional Participant 4
First Name
Last Name
Additional Participant 4 Date of Birth
-
Month
-
Day
Year
Date
This waiver applies to all children listed above.
Required Acknowledgments
(Please check all boxes to continue)
I understand the nature of the activities.
I understand that the Story Play Village is a hands-on, imaginative play environment designed for calm, story-based play. Activities may include walking, pretend play, use of props, craft materials, sensory items, and interaction with other children.
I understand there are inherent risks.
I understand that participation involves inherent risks, including but not limited to slipping, tripping, falling, contact with objects or other participants, and minor injuries that may occur during normal play.
I assume all risks.
I knowingly and voluntarily allow my child(ren) to participate and assume all risks, known and unknown, associated with participation, including risks arising from the ordinary negligence of the business, its owners, or employees.
I agree to supervise my child(ren).
I understand and agree that I am solely responsible for supervising my child(ren) at all times while on the premises. I acknowledge that staff do not provide individual child supervision.
I understand play expectations.
I understand that the Story Play Village is designed for gentle, imaginative play. I agree that walking feet are expected, throwing toys or rough play is not permitted, and staff may redirect play if behavior becomes unsafe.
I agree to follow facility rules.
I agree to follow all posted rules and staff instructions while in the play space.
I understand shoes and socks requirements.
I understand that play areas are shoes-off, children are required to wear grippy socks while playing, shoes are required in the bathroom, and stroller parking is not available inside the play village.
I acknowledge the health and illness policy.
I confirm that my child(ren) are not experiencing symptoms of contagious illness and will not attend if they have symptoms such as fever, vomiting, diarrhea, or other signs of illness. I understand that exposure to illness is a possible risk in shared play environments.
I release liability as permitted under Idaho law.
To the fullest extent permitted under Idaho law, I release and hold harmless Creating Education DBA Sensory Story Books, its owners, employees, and agents from any and all claims arising from participation, including claims arising from ordinary negligence, but excluding gross negligence or intentional misconduct.
I confirm legal authority.
I confirm that I am the parent or legal guardian of the child(ren) listed above and have the legal authority to sign this waiver on their behalf.
Optional Media Permission
I grant permission for photos or videos of my child(ren) to be used for marketing or promotional purposes.
I do not grant permission.
Parent/Guardian Signature
By checking the boxes above and signing above, I confirm that I have read, understand, and agree to the terms of this waiver.
Date
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Month
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Day
Year
Date
Submit Waiver
Submit Waiver
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