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Marshmallow Indoor playground waiver 

In consideration of being allowed to enter and use the facilities located at 572 North michigan street Elmurst IL, 60126  and participate in any activity or program offered by Marshmallow Indoor playground  I, on my own behalf and on behalf of my child(ren) identified below, acknowledge, appreciate, and agree to the following:

I acknowledge and agree that there are inherent risks associated with the use of the facilities and participation in any activity or program at Marshmallow Play. Such risks include but are not limited to falling, bumping, risks from abrasions, scrapes, cuts, broken, sprained or bruised limbs, and even serious injuries such as paralysis or death, as well as risk from the actions or omission of others. I acknowledge that I am aware of the risks involved in using the facilities and participating in any activity or program at Marshmallow Play and assume all such risks, known and unknown.

 I hereby release, waive and forever discharge Marshmallow Play , its members, managers, affiliates, agents, employees, contractors, successors, and assigns from any and all claims, demands, damages, actions, or causes of action, resulting from or arising out of my use of the facilities or participation in any activity or program at Marshmallow Play , including but not limited to any claims for personal injury, property damage, wrongful death, or any other loss.

 I agree to indemnify and hold harmless Marshmallow Play , its members, managers, affiliates, agents, employees, contractors, successors, and assigns from and against any and all injuries, illnesses, medical conditions, damages, claims, liabilities, expenses or judgments, including attorney's fees and court costs resulting from any negligent or deliberate act or omission of my child(ren), caregiver or myself.

I acknowledge and agree to abide by all posted safety signs, rules, and verbal instructions as conditions for using the facilities and participating in any activity or program at Marshmallow Play . I further acknowledge that any inappropriate behavior, such as, but not limited to, harassment, physical or health endangerment of self or another person, or foul language will result in the immediate removal from the premises.

I understand and acknowledge that I am solely responsible for any personal property brought onto the premises of Marshmallow Play and that Marshmallow Play shall not be liable for any loss, damage or theft of such personal property. I acknowledge that I am responsible for ensuring the safekeeping of my personal property while on the premises of  Marshmallow Play, and that Marshmallow play shall not be held responsible for any damage, loss or theft of such personal property under any circumstances.

 I certify that I am the parent or legal guardian of the child(ren) whose name(s) appear(s) below, or have obtained permission from the parent/legal guardian of the participant(s) named above to execute this agreement on their behalf, and I have the authority to waive rights on behalf of the minor child(ren). I understand that this is a permanent waiver to be kept on file by Marshmallow Play for today's visit and all subsequent and future visits. I have informed myself on the contents of thisWaiver from Marshmallow Play and hereby release from liability and indemnify Marshmallow Play after reading and signing this agreement.

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*

Phone*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*

Phone*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*

Phone*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*

Phone*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*

Phone*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*

Phone*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*

Phone*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*

Phone*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*

Phone*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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