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2930 E. Nees Ave. Suite 105

Fresno, CA 93720

(559) 513-3680

Playground Use and Safety Waiver

 

ACKNOWLEDGEMENT OF THE RISKS AND RELEASE OF LIABILITY
I recognize that there are certain inherent risks associated with the participation of activities and/or use of the property, facilities, and services at Tiny Tots Playground, and I assume full responsibility for personal injury to myself and my family members, and further release and discharge Tiny Tots Playground and Tiny Tots Playground LLC for injury, loss or damage arising out of my or my family's use of or presence upon the facilities of Tiny Tots Playground, whether caused by the fault of myself, my family, Tiny Tots Playground, or other third parties.

I Agree

AGREEMENT TO FOLLOW RULES AND REGULATIONS
I agree to observe and obey all posted rules and warnings, and further agree to follow any oral instructions or directions given by Tiny Tots Playground staff.

RULES + REGULATIONS
• All Members and Guests must check in at the front desk.
• Tiny Tots Playground reserves the right to close the facility due to unforeseen, uncontrollable circumstances. Every attempt will be made to inform members of such closings.
• Please do not bring your child to Tiny Tots Playground if you think he/she is sick or is getting sick. We ask that a child be fever free for at least 24 hours before returning to the facility.
• Tiny Tots Playground is not responsible for the loss or damage of personal belongings.
• Children are not allowed to wear shoes in our play space.
• Tiny Tots Playground is designed for children ages 0 to 5 years old only.
• Parents & caregivers are expected to monitor their children within the play space to ensure the safety of their child(ren) and other children.
• Parents & caregivers are to make certain that their child is playing in an appropriate manner within the space, which includes: not causing harm to him/herself or other children playing and not causing unnecessary harm or damage to the toys, walls, or structures within our space.
• No rough-housing, aggressive behavior, running or fighting.
• Parents & caregivers are strongly encouraged to role model general clean-up of toys and play areas at the end of their visit.
• Breastfeeding is welcome in any area of our play space.
• Outside food and drinks are permitted, but we ask that they be consumed ONLY while seated at our snack table or seating areas. Due to the large number of children with various food allergies, we ask that you thoroughly clean up after yourself and your child(ren) once you have finished eating.

I Agree

FEES
I agree to pay for all damages to the facilities of Tiny Tots Playground or Tiny Tots Playground LLC caused by any negligent, reckless, or willful actions by me or my family.

I Agree

MEDICAL AUTHORIZATION
In the event of accident or injury, when a parent or legal guardian are not available, I give my permission to Tiny Tots Playground, or to the employees, representatives or agents of Tiny Tots Playground or Tiny Tots Playground LLC to provide and arrange for necessary medical treatment for my child. I agree to assume financial responsibility for all expenses of such care.

I Agree

CONSENT
I consent to the participation of the child(ren) listed in activities at Tiny Tots Playground, and agree on behalf of the listed child(ren) to all of the terms and conditions of this Agreement. By signing this Release of Liability, I represent that I have legal authority over and custody of listed child(ren).

I Agree

First Parent's Name

First Name*

Last Name*
First Parent's Date of Birth*
First Parent's Signature*
Second Parent's Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Parent(s) or legal guardian(s) must sign for any 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*
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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