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Today is a GREAT day to play!

 

In exchange for participation in the activity of a children's drop-off and indoor playground operated by Seven Arrows Investment LLC., also known as THE JUNGLE GYM, I hereby agree for myself and for the members of my family including, any minor children, to the following:

1. AGREEMENT TO FOLLOW DIRECTIONS. I agree to observe and obey all posted rules and warnings and to follow any oral instructions or directions given by THE JUNGLE GYM, and its employees, representatives, and agents.

2. ASSUMPTION OF THE RISKS AND RELEASE. I recognize that there are certain inherent risks associated with the above described activities which include but are not limited to playground equipment and other children's playground activities, and I assume full responsibility for personal injury and property damage to myself and my family members, including any of my minor children, and further release and discharge THE JUNGLE GYM and its agents, employees, representatives, shareholders, officers and directors from any injury, loss, or damage arising out of mine or my family's or minor children's use of or presence upon the facilities of THE JUNGLE GYM, whether caused by the fault of myself, my family, my minor children, or any other third parties present at the premises, or by THE JUNGLE GYM, and any of its agents, employees, representatives, shareholders or directors. This Release is effective as of the date that I sign this Agreement and will remain in effect without renewal.  This Release is signed unless terminated in writing by the undersigned.

3. FEES. I agree to pay for all damages to the facilities of THE JUNGLE GYM caused by any negligent, reckless, intentional, willful or uncontrolled actions caused by me, my family, or my minor children.

4. CONSENT. I do hereby consent to the participation of my minor children in all activities at THE JUNGLE GYM, the children's drop-off and play center, and agree on behalf of myself and my legal minors to all the terms and conditions of this Agreement. By signing this Release of Liability, I represent that I have legal authority over and physical custody of my minor children, and do hereby indemnify, save and hold harmless THE JUNGLE GYM in connection with such representation of authority.

5. MEDICAL AUTHORIZATION: In the event of an injury to any of the below minor children during the above described activities I give my permission to THE JUNGLE GYM or to the employees, representatives, or agents of THE JUNGLE GYM to arrange for all necessary medical treatment for which I shall be financially responsible. This authority will begin as of the date that I sign this Agreement and will remain in effect from the date this Release is signed unless sooner terminated in writing by the undersigned. THE JUNGLE GYM shall have the following powers:

A. To seek appropriate medical treatment or attention on behalf of my child or children as may be required by the circumstances, including without limitation, that of a licensed medical physician and/or a hospital;

B. Power to authorize medical treatment or medical procedures in an emergency situation.

6. FACSIMILE/ELECTRONIC SIGNATURE. This document may be signed by any electronic means, including the use of facsimile machine or use of any electronic signature software, programs or applications including but not limited to DocuSign, and such signature shall be deemed as valid and enforceable as on original signature for all purposes.

I HAVE READ THIS DOCUMENT AND UNDERSTAND IT. I FURTHER UNDERSTAND THAT BY SIGNING THIS RELEASE, I VOLUNTARILY SURRENDER CERTAIN LEGAL RIGHTS ON MY BEHALF AND ON BEHALF OF MY FAMILY AND MY MINOR CHILDREN.

I Agree

First Participant's Name

First Name*

Last Name*
First Participant's Date of Birth*
I certify that I am 18 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*
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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