HAPPYNEST PLAY CENTERS,LLC. FULL RELEASE OF LIABILITY AND WAIVER FORM
In consideration of being allowed to enter the play area, use equipment, or to participate in any party and/or program at HappyNest Play Centers, LLC, on the date listed below (effective date) or any date in the future. The undersigned, on his or her behalf and on behalf of the minor(s) identified below, acknowledges, appreciates, agrees, and is fully aware of the risks and hazards in participating in any of the activities on the premises of Happynest Play Centers, LLC. And further agrees as follows. I agree for myself and/or the minor(s) listed below that we shall comply with all stated and customary terms, posted safety signs, rules and verbal instructions as conditions for play and participation in any party and/or program at Happynest Play Centers, LLC and agree to pay for all damages to the facilities of Happynest Play Centers, LLC caused by myself or the listed minors negligent, reckless or willful actions. In addition, if I observe any hazard during our participation, I will bring it to the attention of the nearest Happynest Play Centers, LLC employee or official immediately. I recognize and understand that there are certain inherent risks associated with use of the play area, parties and programs and that risks of injury include without limitation scrapes, bruises, cuts, and even more serious injuries such as paralysis or death. MOREOVER, FOR MYSELF AND THE MINORS LISTED BELOW, I FULLY ACCEPT AND AGREE TO ASSUME ALL OF THESE RISKS, INCLUDING THE RISKS ARISING FROM THE NEGLIGENCE OF OTHER PARTICIPANTS, AND ASSUME FULL RESPONSIBILITY FOR PERSONAL INJURY TO MYSELF AND THE LISTED MINOR(S) AND OUR RESPECTIVE HEIRS,ASSIGNS,ADMINISTRATORS, PERSONAL REPRESENTATIVES, AND THE NEXT OF KIN. I ALSO WAIVE AND RELEASE AND DISCHARGE HAPPYNEST PLAYCENTERS,LLC, ITS AFFILIATES, OFFICERS, MEMBERS, AGENTS, EMPLOYEES, OTHER PARTICIPANTS AND SPONSORING AGENTS FOR INJURY LOSS OR DAMAGE ARISING OUT OF OUR PARTICIPATION IN ANY AND ALL OF HAPPYNEST PLAYCENTERSLLC PROGRAMS, ACTIVITIES, PARTIES AND/ORTHE USE OF THE FACILITIES OF HAPPYNEST PLAY CENTER LLC. THIS WAIVER AND RELEASE SHALL APPLY TO ALL RISKS KNOWN AND UNKNOWN, EVEN IF RESULTINGFROM NEGLIGENT ACTION OF OTHER GUESTS OR EMPLOYEES OF HAPPYNEST PLAY CENTERS LLC I hereby grant permission to The HappyNest Play Centers LLC, and its officers, trustees, employees, agents representatives, (hereinafter "the HappyNest Play Centers") to photograph my image, likeness, or depiction and/or that of my minor children. I hereby grant permission to the HappyNest Play Centers llc to edit, crop, or retouch such photographs, and waive any right to inspect the final photographs. I hereby consent to and permit photographs of me and/or those of my minor children to be used for any purpose, including educational and advertisement purposes, and in any medium, including print and electronic. I understand that HappyNest may use such photographs with or without associating names thereto. I further waive any claim for compensation of any kind for the use or publication of photographs of me and/or those of my minor children. I hereby fully and forever discharge and release the HappyNest Play Centers LLC from any claim for damages of any kind (including, but not limited to, invasion of privacy; defamation; false light or misappropriation of name, likeness or image) arising out of the use or publication of photographs of me and/or those of my minor children, I agree not to sue or otherwise initiate legal proceedings against The HappyNest Play Centers LLC for such use or publication on my own behalf or on behalf of my minor children. All grants of permission and consent, and all covenants, agreements and understandings contained herein are irrevocable. Each participant must have a waiver signed, either by them or if you are under the age of 18 years of age, then signed by a parent/legal guardian or designated representative by parent/legal guardian. If a waiver is not signed, the person will not be able to participate in Happy Nest Play Centers programs, parties, and/or use of the play area and equipment. “Rules of play” include and are not limited to (a) Socks must be worn (no shoes or bare feet) in the play area. (b) Adults must supervise their children at all times. I represent that I am the parent or legal guardian of the minor(s) named below or I have obtained permission from the parent/legal guardian of the minor(s) named below to execute this agreement on their behalf. I further represent that the participants are healthy and physically able to participate in any and all undertaken activities. I consent to the reproduction, use and distribution of pictures, video, and sound for the purpose of promotion and advertising to be used in electronic, print and internet media.
*Parent/Guardian Printed Name _____________________________________*Phone number________________________________
*Signature of parent/Legal guardian______________________________ *Effective Date_________________
1.) Child name___________________________ Birth Date_________________________*
2.) Child Name __________________________ Birth Date_________________________*
3.) Child Name___________________________Birth Date_________________________*