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PARENTAL CONSENT, RELEASE OF LIABILITY, AND INDEMNITY AGREEMENT

In consideration of services performed by Funtastik Labs, LLC., a Texas Limited Liability Company, who is owner and operator of Funtastik Labs, at Funtastik Labs today and in the future, I hereby execute this Parental Consent, Release of Liability, and Indemnity Agreement (the “Agreement”) on behalf of myself and any children, relatives, or dependents identified herein (collectively ‘Participants’), and hereby agree as follows:

I and Participants are solely responsible for the supervision of my children at the Funtastik Labs facility and agree that Funtastik Labs, LLC. assumes no responsibility for their supervision. I further agree that it is my responsibility to review and comply with the safety guidelines and policies of the Company and assist with ensuring my children’s compliance.

I and Participants shall abide by all Funtastik Labs rules, instructions, and the directions of Funtastik Labs employees and representative. Failure to abide by those rules, instructions, and directions can lead to the immediate revocation of my rights to use Funtastik Labs services and facilities, without any right to refund or any payment.

I and Participants grant exclusive permission to Funtastik Labs to use my or Participants’ names, faces, likenesses, voices, artworks, activities, presentations, creations, or appearances in photographs or videos for educational and promotional purposes such as, but not limited to, brochures, flyers, website, and social media without compensation and without restrictions as to frequency and duration.

In the event of a medical emergency, I and Participants authorize Funtastik Labs, LLC. to transport my children to a hospital or emergency room for medical treatment and hold Funtastik Labs, LLC. harmless in the execution of such. I agree to be responsible for any associated transportation and medical expenses.

In consideration for being permitted access to Funtastik Labs facilities and activities, I and Participant voluntarily assume all risk of injury from participating in Funtastik Lab activities and agree to fully and forever waive, release and discharge Funtastik Labs, LLC., its affiliates, owners, members, investors, representatives, employees, instructors, contractors, landowners, landlords, affiliated companies or entities, successors, heirs, and assigns, of any liability or obligation that may arise out of or in connection with my activities or the activities of others while at Funtastik Labs.

By executing this agreement, I declare under penalty of perjury that I am doing so only for myself and/or Participants for whom I am authorized. If I or Participant or any legal representative files a claim for lawsuit out of my or Participant’s participation in Funtastik Labs, I agree to defend, indemnity and hold harmless Funtastik Labs, LLC.

I understand the terms of this PARENTAL CONSENT, RELEASE OF LIABILITY, AND INDEMNITY AGREEMENT and understand that this release of liability will prevent me and Participants from filing suit or making any claims for damages in the event of any loss or injury arising from participation in Funtastik Labs activities.

I have carefully read this agreement and fully understand its contents and unconditionally agree to it fully and voluntarily.

Date: December 10, 2019

First I Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

Email*
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A signed copy of this waiver will be sent to the email address you provide.
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*
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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