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little seeds Liability Waiver

A signed waiver is required to play and party at little seeds.

Policies and procedures:

  • Shoes are NOT allowed in the play area; children and adults are encouraged to wear socks.  Socks are available for purchase if needed.
  • Please help to keep our space clean and safe by staying home if your children are sick; children must be fever free for 24 hours to play.
  • little seeds is a NUT-SAFE facility, and for this reason, no outside food allowed.  Thank you!
  • Food and beverages purchased on site MUST be consumed at the tables in the party space.  Please do not allow your children to wear costumes while eating.
  • Please do not bring your child’s own toys into the play areas.
  • Disruptive or inappropriate behavior will not be tolerated.
  • Parent/guardian MUST remain in the building and supervise the child(ren) under their care in the play areas at all times.
  • You may park strollers in our cubby area, or off to the side in the play area.  Please do not leave them where playing children may bump them.  During busy days or when ice melt is present outside, we may ask you to leave them in the cubby area for safety reasons.

I, Parent/Guardian, on behalf of myself, my spouse, my child(ren), and minor children for whom I am appointed guardian, my heirs, assigns, personal representative and estate hereby:

(a) agree to use little seeds, LLC’s (hereinafter “Venue”) facilities and play space, and participate in Venue’s activities, in a safe and responsible manner;

(b) agree to abide by the Venue rules and instructions and the directions of Venue employees and representatives, whereby I acknowledge that (i)  those rules, instructions and directions are intended to promote the safety of both myself and others; (ii) my failure or refusal to abide by those rules, instructions and directions can lead to the immediate revocation of my right to use the Venue and its facilities, without any right to refund of any payments made; and (iii) in the event of sickness, accident or injury, (a) I will immediately report my injury to the Venue’s staff and under no circumstances will I leave the facility without doing so, (b) I will cease all participation in Venue activities at that time of sickness, accident or injury, (c) I authorize the Venue employees and representatives to obtain and secure, on my behalf, emergency medical treatment and  transportation, when deemed appropriate by the Venue employees and representatives, and (d) I agree to assume, at my expense, all costs of medical care and transportation;

(c) agree to fully and forever waive, release and discharge Venue from any and all claims, actions, causes of action, demands, judgments, damages (including compensatory, general, special, consequential, exemplary and punitive), liability or obligations of any nature or kind, whether known at the time I leave the Venue or which may arise or become known later, which accrue on account of, or in any way arise out of or in connection with:

(i) my activities within the Venue;

(ii) the activities within the Venue by others; (iii) the operation of the Venue by Venue Owner regardless of whether such claims are founded in whole or in part upon alleged negligence, or the actual negligence of Venue Owner; (iv) my use of any and all of the Venue facilities and play areas; and (v) my use of any and all equipment within the Venue, whether owned by me, Venue Owner or a third party;

(d) agree to indemnify, defend, and hold Venue harmless from and against any and all losses, liabilities, claims, obligations, costs, damages, and/or expenses whatsoever, including, but not limited to, any and all attorneys' fees, costs, damages and/or judgments directly or indirectly arising out of, or relating to my acts or omissions or injuries incurred by my chld or ward while participating in any Venue’s facilities, play space and activities;

(e) authorize Venue to capture my image, likeness and sounds in photographs, videotapes, recordings or other forms of media (“Images”). I acknowledge that Venue will own such Images and I grant permission, without compensation, for Venue or any affiliated party of Venue to copyright, display, publish, distribute, use, modify and print such Images in any lawful manner, including without limitation, in publications, advertisements, brochures, web sites, social media and other electronic displays and transmissions thereof.  The foregoing authorization shall not include using my name with any Image, unless I agree otherwise in writing.

I understand and agree that:

(i) that this Waiver and Release Agreement gives up important legal rights;

(ii) I am giving up these important legal rights voluntarily, freely, under no threat of duress, without inducement, promise or guarantee being communicated to me; and

(iii) I have read and understand the terms of this WAIVER AND RELEASE AGREEMENT and unconditionally agree to its full terms, statements, warranties, notices, representations, waivers and releases on behalf of both myself and my spouse, if any, and my child or ward.

(iv) the signature below is proof of my intention to execute a complete and unconditional WAIVER AND RELEASE of all liability to the full extent of the law.

 All such terms, statements, warranties, notices, representations, waivers and releases fully apply to my child or ward as if I was the participant. I understand that, by signing this Waiver and Release Agreement, I am giving up important legal rights both on behalf of myself and my child or ward regarding potential rights and claims against Venue. I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.

I hereby warrant and represent that if I am neither the Child’s Parent nor legal Guardian, I have been granted the expressed authority to execute this Waiver and Release Agreement by, and on behalf of, the Child’s Parent or Guardian. In the event that I do not have the authority to execute this agreement on behalf of another, I agree that I shall be solely liable for any and all claims, actions, penalties, causes of action, services, fees or similar expense.

COVID-19 Update:

By signing the form below, I am acknowledging the potential risk to contract the COVID-19 disease during services provided today and voluntarily agreed to accept said services. I further agree and hereby release littleseeds LLC, its owners, managers, teachers, instructors, workshop presenters, employees, independent contractors, agents and staff from any and all liability associated with my potential risk to contract COVID-19.

I HEREBY ATTEST THAT I HAVE (1) READ AND UNDERSTAND THE ABOVE DISCLAIMER AND (2) THAT I HAVE RECEIVED, READ AND UNDERSTAND little seeds, LLC’s POLICIES AND PROCEDURES.

Today's Date: July 26, 2021

 

 

First Participants Name

First Name*

Last Name*
First Participants Date of Birth*
I certify that I am 18 years of age or older
First Participants Signature*
Second Participants Name

First Name*

Last Name*
Second Participants Date of Birth*
Third Participants Name

First Name*

Last Name*
Third Participants Date of Birth*
Fourth Participants Name

First Name*

Last Name*
Fourth Participants Date of Birth*
Fifth Participants Name

First Name*

Last Name*
Fifth Participants Date of Birth*
Sixth Participants Name

First Name*

Last Name*
Sixth Participants Date of Birth*
Seventh Participants Name

First Name*

Last Name*
Seventh Participants Date of Birth*
Eighth Participants Name

First Name*

Last Name*
Eighth Participants Date of Birth*
Ninth Participants Name

First Name*

Last Name*
Ninth Participants Date of Birth*
Tenth Participants Name

First Name*

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

Email*

Confirm Email*
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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 Name

First Name*

Last Name*
Parent or Guardian Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian 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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