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Noah's Ark Play Centre

111 Hammond Avenue

East Wagga Wagga

NSW 2650

Ph: 02 6925 9999

napc.wagga@gmail.com



Noah’s Ark Play Centre Rules for safe play:

o ADULT SUPERVISION IS REQUIRED AT ALL TIMES

o  Shoes off, SOCKS ON at ALL times

o  NO Food or Drink in the play areas

o  NO Running, Climbing or swinging off netting and/or over play structure

o  Rough Play, Bullying and disrespect to any person/s or equipment will NOT be tolerated

o  NO toys, small or sharp objects on the equipment

o  Share the equipment with others

o  Toddler area is for 3 years and under only

o  Upper levels recommended for 4 Years and over

o  Adults on the equipment for SUPERVISION ONLY

o  BE KIND, BE SAFE and HAVE LOTS OF FUN!

Slide Safety Rules:

o  You must sit on Slide legs in front, hands in lap or in the air

o  Wait until the slide is clear before you slide down

o  DO NOT CLIMB, STAND, RUN or WALK up and down the Slide

o  No pushing or pulling other children up or down the Slide

o  Keep Bottom of the Slide clear for the next person/s turn

As NOAH'S ARK PLAY CENTRE has a cafe on site

NO OUTSIDE FOOD, DRINKS, COFFEE'S

OR LUNCHBOXES ARE TO BE BROUGHT INTO THE CENTRE

Acknowledgement of Risks:

I, the undersigned, understand that participation in activities at Noah’s Ark Play Centre may involve inherent risks and hazards, including but not limited to:

o  Physical Activity: Risk of injury from falls, collisions with other participants, or improper use of equipment

o  Play equipment: Potential for injury due to nature of climbing Structures, Slides, and other play equipment

o  Interaction with other children: Possibility of accidental harm resulting from interactions with other children in the playcentre.

o  Surrounding Environment: Potential Slips, trips, or falls on various surfaces, including play areas, walkways, and seating areas.

o  Food Allergies: Risk of exposure to allergens despite our nut- free policy, including the potential for cross – contamination in shared spaces

While Noah’s Ark Play Centre implements safety measures and staff supervision to minimize these risks, I acknowledge that it is impossible to eliminate all risks associated with these activities. By allowing my Child to participate, I assume full responsibility for any injury or harm that may occur.

Release of Liability:

In consideration of my child’s participation at Noah’s Ark Play Centre, I , on behalf of myself, my child, and our respective heirs, assigns, administrators, personal representatives, and next of kin, hereby release, waive, discharge and covenant not to sue Noah’s Ark Play Centre, it’s owners, directors, employees or agents from any and all liability, claims, demands, actions, or causes of action, arising out of or related to any loss, damage, or injury, including death, that may be sustained by my child or to any property belonging to me, arising from participation in activities at Noah’s Ark Play Centre

Rules and Guidelines:

I agree to follow all rules and guidelines established by Noah’s Ark Play Centre to ensure the safety and enjoyment of all participants. I acknowledge that failure to adhere to these rules may result in myself or my child’s removal from the playcentre without a refund.

First Participant's Name

First Name*

Last Name*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

Email*

Confirm Email*

I confirm that I am 18 years of age or older and have the legal authority to sign this waiver on behalf of the minor/s




By signing below the Parent or 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*

Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
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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