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Tots to Teens Furniture  & Rainbow Play of NC Release of Liability Waiver

In consideration of being able to participate in various activities at Tots to Teens Furniture & Rainbow Play of NC in Raleigh, NC, the undersigned, on his or her own behalf, and on behalf of the minor(s) listed below, acknowledges and agrees to the following conditions:

  1. The undersigned knowingly and fully assumes all risks associated with participation in activities at Tots to Teens Furniture & Rainbow Play of NC and waives all claims for damage to person or property arising from such participation. This release waver covers risks of death, serious injury and property loss whether arising from negligence, carelessness, dangerous activities or defective equipment.
  2. The undersigned certifies that he/she is physically fit and may participate in the activities available at Tots to Teens Furniture & Rainbow Play of NC and has not been advised otherwise by a medical professional.
  3. The undersigned on his/her behalf and on behalf of any executors, heirs, successors and assigns hereby releases, discharges and holds harmless Person & Person Enterprise, Inc. DBA Tots to Teens Furniture & Rainbow Play of NC and its officers, agents, employees, representatives, and all affiliates, from any and all claims arising from death, disability, personal injury, property damage or actions of any kind.
  4. The undersigned agrees to comply with rules and conditions of participation expressed verbally or posted at Tots to Teens Furniture & Rainbow Play of NC. If the undersigned observes any significant hazard during such participation, the undersigned will promptly inform an employee of Tots to Teens.
  5. The undersigned acknowledges that this release and waiver of liability form will be used and relied upon by the company and that it will govern the undersigned’s actions and rights.

 

Please select Adult and Minor(s) followed by the number of minors entering the party room:
AdultAdult and Minor(s)
1 Minor2 Minors3 Minors4 Minors5 MinorsMore Minors6 Minors7 Minors8 Minors9 Minors10 Minors
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First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
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Guardian/Parent Info
Phone: *
Street Address: *
City: *
State:
Zip Code: *
Parent/Guardian must sign for any participating minor 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 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*
Middle Name
Last Name*
Relationship*
Phone*
Participant's Age Acknowledgment*
Parent or Guardian's Date of Birth*
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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