Waiver, Release, Hold Harmless & Indemnification Agreement

Friday, September 20, 2019

I understand and confirm that an agreement exists between Kinderland Indoor Play and Café and myself, by which, I, in my capacity as an individual and my representative capacity if the minor child (or children) listed below, intend to be legally bound. The terms of the agreement are as follows:

1.- I am the parent or legal guardian of the child (or children) named below, or I have obtained permission from the parent or legal guardian of the child (or children) named below to execute this agreement on their behalf.

Guest:
Birthday:
Siblings: (optional)

2.- I acknowledge and understand that there are risks of injury associated with the participation in “Kinderland Indoor Play and Café” activities and the use of play area. These risks include but are not limited to contusions fractures, scrapes, cuts, bumps, paralysis and death. To minimize risk, I agree that the child (or children.) named, and I shall comply with all the rules and regulations required for the participation in any party and/or open play.

3.- On behalf of myself and on behalf of the minor child (or children) in my charge, willingly assume the risks associated with participation. I further understand the possibility of risk injury that may arise due to the willful, negligent, or grossly negligent acts of third party participants. I hereby discharge Kinderland Indoor Play and Café and its owner Monica Romano, their predecessors, parents, subsidiaries, affiliates, officers, property owners and employees, from all obligations arising from injuries occurring because of the risks associated with participation and the risks associated with the actions of third party participants.

4.- I agree on behalf of myself, the minor child (or children) listed, our heirs, assigns, representatives and next to kin, to hold harmless and indemnify Kinderland Indoor Play and Café and its owner Monica Romano, predecessors, parents, subsidiaries, affiliates, officers, landlords and employees, from all obligations arising from injuries occurring as a result of the risks associated with participation including those injuries that are the result of negligence.

CHILDREN MUST BE SUPERVISED BY AN ADULT AT ALL TIMES

I am over the age of eighteen, and have the competency required to execute a legally binding agreement. I hereby execute this agreement without coercion and with the intent to be bound by its terms. This agreement is valid 5 years from signed date.

Parent / Guardian:
Emergency Contact:
Electronic Signature: