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WIPPERSNAPPERS, LLC. CAMP WAIVER - A SIGNED WAIVER IS REQUIRED FOR ALL CAMPERS.

In consideration of being allowed to enter the play area and/or participate in any party, camp, program, or activity at Wippersnappers (individually and collectively as Wippersnappers LLC.) the undersigned, on his or her behalf, and on the behalf of the participant(s) identified below, acknowledges and agrees, for present and for future as follows:

I represent that I am the parent or legal guardian of the participant(s) named below, or I have obtained permission from the parent/legal guardian of the participant(s) named below to execute this agreement on their behalf. I agree that participant(s) named below shall comply with all safety signs, warnings and verbal instructions as conditions for participation in any party, activities and/or program at Wippersnappers, and that I have instructed the participant(s) to follow such signs, warnings and instructions. I hereby acknowledge if I observe any hazard or peril during our participation, I will immediately bring it to the attention of the nearest Wippersnappers employee. I am aware there are inherent risks associated with use of the type of equipment, playing facilities, and climbing facilities used in Wippersnappers facilities (such as, without limitation and as examples, inflatable equipment, rock walls, wiggle carts and other things of this nature), and I am also aware of the inherent risks associated with participation of parties, activities and programs at Wippersnappers and I, on behalf of myself and the participant(s) named below, knowingly and freely assume all such risk, both known and unknown, including those that may arise out of the negligence of other participants, and other third parties:  and, I, for myself and the participant(s) listed below, and all of our respective heirs, assigns, administrators, personal representatives, and next of kin, hereby release and hold harmless Wippersnappers LLC., it’s affiliates, officers, members, agents, employees, owners, shareholders, successors in interest, other participants, and sponsoring agencies from and against any and all claims injuries, liabilities or damages arising out of or related to our participation in any and all Wippersnappers programs, activities, parties, the use of the play area and/or all equipment now and in the future.

I acknowledge that while rules, equipment design, and supervision reduce risk, the risk of possible injury does exist. I do hereby give permission to Wippersnappers to make use of photographs and images taken during my activity in advertising and promotion activities. Use of my photographs and images by Wippersnappers may be done without further notice or obligation to me. This agreement shall remain in effect until revoked in writing by the undersigned and such revocation is accepted in writing by Wippersnappers LLC.

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
I certify that I am 20 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*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 20 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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