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TLGT Open Play Waiver

In consideration of being allowed to enter the play area and/or participate in any party, program, class or event at The Little Green Tambourine, the undersigned, on his/her behalf and/or behalf of the participant(s) identified below, acknowledges, appreciates and agrees to the following conditions:

  1. I understand indoor play equipment can be dangerous.  The activities at The Little Green Tambourine require certain degrees of skill, ability and physical condition. I understand that these activities can result in injury to the participant(s) and/or me.  I assume all risk, damage or injury while on the premise of The Little Green Tambourine.  In addition, if I/we observe any hazard or danger during our participation, I will bring it to the attention of the nearest The Little Green Tambourine employee immediately.
  2. I am aware that participation in programs, parties, classes or events at The Little Green Tambourine creates risks, hazards and danger of personal injury, disability and/or death.
  3. I, for myself and the participants' names below, and our respective heirs, assigns, administrators, personal representatives, and next of kin, hereby release and forever discharge their officers, members, agents, employees, directors, trustees, affiliates, other participants and all other persons and entities acting on their behalf, from any and all claims, actions, damages, injuries, liabilities, cost of expenses, including attorney fees, which are related to or arise out of myself or the participant(s) named below participation or use of the facility and that I forever waive the right to sue or exercise any legal actions against The Little Green Tambourine.
  4. By execution of this agreement, it is my intention to assume all risk of injury and do hereby surrender and waive any rights to sue or exercise any legal right to seek damages against The Little Green Tambourine, its owners, officers, members, agents, employees, trustees, affiliates, other persons or entities acting on their behalf.
  5. I acknowledge that my and the participants named below participation in activities at The Little Green Tambourine is strictly voluntary.  I hereby certify that I am over 18 years of age and voluntarily agree to all terms, conditions and responsibilities set forth in the above terms and conditions.  Prior to signing this agreement, I assume all risk and waive and release all substantial rights that I may have and possess.
  6. I authorize the staff at TLGT to take photos of my child for educational/marketing purposes.

 

General Policies:

  • The Little Green Tambourine is a nut-free facility.  Nuts will not served in the studio and nuts cannot be brought into the studio.
  • The Little Green Tambourine is a shoes-off facility.  Shoes (including those of adults) must be removed upon entering the studio.
  • No running, pushing, or rough play is allowed in The Little Green Tambourine at any time. 
  • Anyone unable to follow the above rules will be asked to discontinue play and no refund will be given.

 

 

 

 

 

First Participant's Name

First Name*

Last Name*

Phone*
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*
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
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.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
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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