Indoor Weekend Play Drop-Off Form

Indoor Weekend Play Drop-Off Form

Please provide your information to drop off your child and review the late fee policy.
Parent Information

Please provide your contact details.
Parent Full Name

First NameLast Name
Parent Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent Email Address
example@example.com
Child Information

Please provide your child's details.
Child's Full Name

First NameLast Name
Child's Age
List All Food Allergies
Drop-Off and Pick-Up Details

Please select the drop-off and pick-up times.
Drop-Off Time

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Hour MinutesAM/PM Option
Pick-Up Time

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Hour MinutesAM/PM Option
Total Hours (calculated)
Fee Total (to be filled by staff or calculated)
Liability Waiver & Release of Responsibility

PLEASE READ THOROUGHLY.
Late Fee Policy: $15 for every 30 minutes late. Late fees are due at pick up.
This waiver must be signed before participation in any Capri’s Kidds Play Lounge activities.

Assumption of Risk
I, the undersigned parent or legal guardian, understand that participation in soft play activities, including but not limited to slides, tunnels, ball pits, climbing equipment, and other play features, involves inherent risks such as falls, bumps, and minor injuries. I voluntarily allow my child to participate and assume all risks associated with these activities.

Health & Safety Acknowledgment
I confirm that my child is physically able to participate in soft play activities and does not have any condition that would prevent safe participation. I agree to inform Capri’s Kidds Play Lounge of any medical conditions, allergies, or special needs prior to drop-off.

I also agree:

My child will not attend if they are sick, have a fever, or show signs of contagious illness.
Capri’s Kidds Play Lounge reserves the right to refuse service to protect the safety of all children.

Supervision & Care
I understand that Capri’s Kidds Play Lounge provides general supervision in a safe, clean environment. However, I acknowledge that staff cannot guarantee the prevention of all injuries and accidents.

Release of Liability
I release, waive, and discharge Capri’s Kidds Play Lounge, its owners, employees, contractors, and representatives from any and all liability, claims, demands, damages, or causes of action arising from my child’s participation in activities, except in cases of gross negligence.

Emergency Medical Authorization
In the event of an emergency, I authorize Capri’s Kidds Play Lounge staff to seek emergency medical treatment for my child if I cannot be reached. I agree to be financially responsible for any medical costs incurred.
Photo & Media Consent (Optional): I give permission for Capri’s Kidds Play Lounge to take photos or videos of my child during play for marketing and social media purposes. No names or identifying information will be shared.
I have read, understand, and agree to the terms of this waiver. I certify that I am the parent or legal guardian of the child listed on the registration form.
Signature
Should be Empty:

Indoor Weekend Play Drop-Off Form

Parent Information

Child Information

Drop-Off and Pick-Up Details

Liability Waiver & Release of Responsibility