In consideration of being allowed to enter and/or participate in any activities at Millie Moos inc'. (‘Activities”), the undersigned acknowledges, appreciates and agrees to the following:
1. Playground equipment can be dangerous and can result in serious injury to me/my child/children. I understand the nature of Activities and represent that I am qualified, in good health, and in proper physical condition to participate in such Activities. If I believe any of the Activities are unsafe, I will immediately stop participating. I understand that these Activities may involve risk of serious bodily injury, and all such risks, including presently unknown or unforeseeable risks, and voluntarily assume all responsibility for losses resulting from participation in these Activities.
2. I also assume ALL responsibility for supervising and monitoring my child/children while at Millie Moos inc'. Millie Moo's staff are not responsible for taking care of my child/children.
3. I hereby forever release and discharge Millie Moos inc', its respective owner, heirs, shareholders, administrators, directors, agents, officers, lessors, volunteers, employees, other participants, any sponsors, and advertisers (‘Releases”) from any and all liability, claims, demands, losses, or damages, however caused, whether related to property damage, theft, and/or personal injury, and whether based on tort, intentional act, strict liability, negligence, and/or cost which relates to, or arises from, this waiver, to the fullest extent permitted by law. I have read this agreement, fully understand its terms, understand that I have given up substantial rights by signing it and have signed freely and without any inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of this agreement is held to be invalid, the balance notwithstanding, shall continue in full force and effect.
4. I also understand and agree that my execution of this waiver on the initial visit, or for one of my children, will authorize Millie Moos inc', to enter this waiver into its database and use it as a continuous, multi-use waiver for my child’s/children’s ongoing participation in the activities or use it as a waiver
executed for my other child/children. I hereby authorize Millie Moos inc', to use this waiver as a multi- use waiver until such time as I revoke it in writing.
PARENTAL/LEGAL GUARDIAN CONSENT
AND I, agree I am the responsible person, parent and/or legal guardian, understand the nature of the above referenced activities and the Minor’s experience and capabilities and believe that Minor to be qualified to participate in such activities. I hereby Release, discharge, covenant not to sue and agree to indemnify and save and hold harmless each of the Releases from all liability, claims, demands, losses or damages on the Minor’s account caused or alleged t have been caused in whole or in part by the negligence of the Releases or otherwise including negligent rescue operations, and further agree that if, despite this release, I the Minor, or anyone in the Minors behalf makes a claim against any of the above Releases, I will Indemnify, save and hold harmless each of the Releases from any litigation expenses, attorney’s fees, loss liability, damages, or cost any Releasees may incur as a result of any such claim.
MEDICAL PERMISSION AUTHORIZATION
If the participant is of minority age, the undersigned parent or guardian hereby gives permission for Millie Moos inc', to authorize emergency medical treatment as may be deemed necessary for the Minor named below while participating in Millie Moos inc'. The undersigned hereby releases discharge, covenant not to sue and agrees to indemnify and save and hold harmless Millie Moos inc', from all liabilities, claims, demands, losses or damages on the minor account caused or alleged to have been caused in whole or in part by the negligent medical treatment, failure to provide medical treatment, or negligent rescue operations, and further agrees to indemnify, save and hold harmless Millie Moos inc', from any litigation expenses, attorney’s fees, loss liability, damages, or cost incurred by Millie Moos inc' as a result of any such claim.
PERMISSION TO USE PHOTOGRAPHY
I grant to Millie Moos inc', the right to take photographs of me and my family. I authorize Millie Moos inc', it’s assigns and transferee’s to copyright, use and publish the same in print and or electronically. I agree that such photographs may be used with or without my name with any lawful purpose including but not limited to publicity, illustration advertisement and Web content.
I HAVE READ THE ABOVE MEDICAL PERMISSION AUTHORIZATION AND BY SIGNING IT AGREE IT IS MY INTENTION TO EXEMPT AND RELIEVE MILLIE MOOS INC', FROM ALL LIABILITY ARISING AS THE RESULT OF THE MEDICAL PERMISSION AUTHORIZATION.