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A completed waiver is required to participate at The Play Place.

In consideration of being allowed to enter The Play Place, the undersigned, on his/her behalf of the minor(s) identified below and any other minor accompanying the undersigned whether or not listed, acknowledge, appreciated and agree that:

  1. I understand my children are my responsibility while at the Play Place. I am responsible for their safety and well-being. I will supervise them at all times unless they are taking part in a Play Place activity or class. I also understand that I am responsible for all of my and my child(rens) personal belongings.
     
  2. Racquets and balls will only be given to parents who must supervise their children on the courts.
     
  3. I understand that I may be video or photographed by The Play Place. Any photographs taken by our staff are property of The Play Place and can be used in our printed / digital advertising. You will be notified of the days this is taking place.
     
  4. I will follow and respect the rules and direction of all staff members.
     
  5. I acknowledge that my child(s) and any other accompanying minor(s) participating in activities at The Play Place is strictly voluntary. I hereby certify that I’m over 18 years of age; I have carefully read the foregoing release, waiver and covenant not to sue and acknowledge that I understand and agree to all of the above terms, conditions and rules. Thank you for your understanding and for helping us keep our children safe.

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  • Each participants must remove shoes and wear SOCKS
     
  • Children must stay in designated areas
     
  • Respect directions from all Staff Members at all times
     
  • No food or drinks on Field / Tennis Courts and Structure
     
  • On all slides, kids must slide feet first on their bottoms
     
  • No wrestling or rough play
     
  • No diving, climbing, hanging or flips
     
  • No running / climbing up slides
     
  • Parents must supervise kids at all time

I have read and understand these rules


Date: December 10, 2019

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 Information

Age: *
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information

Age: *
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information

Age: *
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information

Age: *
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information

Age: *
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information

Age: *
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information

Age: *
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information

Age: *
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information

Age: *
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information

Age: *
Parent or Guardian's Email Address

Email*

Confirm Email*
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Phone

Phone *
Zip Code

Zip Code *
How did you hear about us?

How did you hear about us? *
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 Information

Age: *
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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