Loading...

SCHOOL/DAYCARE WAIVER

INSTRUCTIONS: You should only fill this waiver if you are a school or day care operator interested in bringing children to our park. This waiver also applies to persons bringing large groups of children between 5 and 100 to our park on any particular date.  PLEASE NOTE THAT IT IS A PRE-CONDIITON FOR USE OF OUR PARK THAT YOU HAVE OBTAINED THE PRIOR WRITTEN CONSENT OF THE PARENTS OR LEGAL GUARDIANS OF EVERY CHILD YOU BRING TO OUR FACILITY.

This waiver agreement is between you (Name of School/Day Care Operator/ Person or company supervising the large group) AND the owners of playground (Totsville LLC, located at 7497 Baltimore Annapolis Blvd, Glen Burnie MD 21061) Kindly note that in this agreement any express mention of the owners of the playground includes their successors in title, agents, employees, staff, privies, legal representatives and parent companies even when this is not expressly stated. ‘Child’ or ‘Children’ when used in this agreement includes every child brought to the playground by the person signing this agreement more particularly described by name at the end of the agreement. The ‘playground’ for the purposes of this agreement is the playground located at 7497 Baltimore Annapolis Blvd, Glen Burnie MD 21061.

You are entering this agreement for and on behalf of yourself and every child you would have brought to the playground as shown in the list attached to this agreement. No child you/your organisation/company bring to the playground may use the playground unless a duly authorised member of your school/day care/ company who has the authority to sign this waiver on behalf of the children has indeed signed this waiver.

FIRST OF ALL, you should understand that by using the playground you agree that you or your representatives of your Company / Day Care / School /you and the children you bring to the playground would obey all the rules of the playground. If any damage, loss or harm, howsoever caused, occurs to any member of your staff, representative, agent or any child you or your organisation has brought to the playground because of disobedience of the rules of the playground, it is hereby agreed that the playground owners, Totsville LLC, Totsville’s partners, directors, affiliates, officers, owners, employees, agents, manufacturers and its respective heirs, successors shall not be liable for such damage regardless of how such damage, harm or loss occurs.

  1. All children on the playground must be supervised by you/ your company/ your school/ your day care’s representatives at all times.  All schools shall ensure that teachers adequately supervise the children on the premises in compliance with all relevant and applicable safety laws.
  2. It is your responsibility to ensure that the appropriate number of supervisors, taking into consideration the number of children, is provided to supervise the children brought by you/ your company/ your school/ your day care to the playground. All school and day cares must comply with relevant laws on supervision.
  3. Persons bringing large groups of children to the playground shall solely be liable for determining the appropriate amount of supervisors required. They shall engage appropriate supervisors who must not suffer any legal disability with regard to children, and ensure that special attention is paid to children brought to the playground in relation to their age to ensure that all safety guidelines and rules of the playground are followed. Any person bringing large groups of children hereby indemnifies the owners of the playground for any loss suffered by the owners of the playground due to breach of this provision.
  4. The persons supervising the children shall not be drunk, under the influence of any illegal substances, otherwise intoxicated or legally disallowed from performing such a role.  The persons supervising the children shall also not be allowed to smoke, sleep or drink alcohol on/ at the playground.
  5. The children shall NOT be left unattended at the playground at any point in time for any reason.
  6. You/ your company/ your school/ your day care agree that you will not use the facilities which are hereby expressly stated to be for children as an adult. You/ your company/ your school/ your day care are bound by the age limit on each piece of equipment at the playground and must not put any child in any equipment which is beyond their age range.
  7. If you/ your company/ your school/ your day care ignore or do not follow any of the information in this paragraph whether intentionally or recklessly, you will not hold the playground owners liable for any damage, loss or harm that occurs whether to you, your child or property as a result of this and shall indemnify the owners of the playground for any loss suffered as a result of same.

You/ your company/ your school/ your day care also make the following representations:

  1. That you/ your company/ your school/ your day care have the permission of the parent or legal guardian of the children named below to bring the children to the playground and sign this waiver.
  2. That you/ your company/ your school/ your day care have disclosed any special circumstances that the children mentioned in the list attached to this waiver may have which could make it more likely that they could be injured while using the playground and the equipment therein and have taken steps to mitigate such risks.
  3. That you/ your company/ your school/ your day care understand that there are risks associated with using equipment in the playground which include risks of death and injury, cuts, grazes, broken bones , fractures which may or may not be serious, choking hazards, falling, getting stuck, and other incidental injuries or discomfort. Injuries may also result in disability or death if proper safety procedures are not followed and used by the children.
  4. That the risks mentioned in paragraph 3 above have been explained to the parents/legal guardians of the children you/ your company/ your school/ your day care are bringing to the playground and shall solely bear liability for same.
  5. That you/ your company/ your school/ your day care understand that whilst using the sandbox special risks arise including but not limited to ingesting the sand by the children, burying children within the sand box and so on and that you/ your company/ your school/ your day care shall closely supervise your children whilst using the sandbox. You/ your company/ your school/ your day care shall not hold the playground owners liable for any damage, loss or injury howsoever caused from the use of the sandbox by any of the children in the list attached to this waiver particularly more so when such damage or loss is caused due to your failure to closely monitor your child’s use of the sandbox.
  6. That you/ your company/ your school/ your day care have informed the parents of the children of the risks mentioned in paragraph 5 above and shall indemnify the playground owners for any loss suffered by the playground owners due to violation of the clauses in this agreement by you/ your company/ your school/ your day care or any failure to properly inform them of the associated risks.
  7. You/ your company/ your school/ your day care agree and hereby accept on behalf of the children mentioned in the list attached to this waiver and their parents/legal guardians, the risks and dangers associated with climbing on, around and through the play equipment at the playground and the equipment therein and voluntarily and knowingly assume the risks of injury or death to yourself and/or the children mentioned in the list attached to this waiver and state that you wish to participate in and/or to allow the children in the list attached to this waiver to participate in the activities taking place at the playground with full knowledge of the dangers and risks of these activities.
  8. That you/ your company/ your school/ your day care and all your heirs, assigns, representatives, and next of kin agree to hold harmless, release, waive and indemnify the owners of this Playground their predecessors, parent, subsidiaries and affiliates, officers, and employees for any and all injuries, liabilities or damages arising from participation in the playground.
  9. That you/ your company/ your school/ your day care additionally agree to indemnify the independent owner of the playground, their predecessors, parent, subsidiaries and affiliates, officers, and employees for any defence, cost or expense arising from any and all claims, injuries, liabilities or damages arising from participation.
  10. That you/ your company/ your school/ your day care by signing this agreement also give the playground owners the right to take you/your representatives and the children’s pictures, make video recordings, and use the images for purposes associated with the playground and marketing the playground and that appropriate permission for the above has been sought and obtained from the parents of the children.

YOU HEREBY STATE THAT YOU HAVE  READ  THIS  AGREEMENT, FULLY  UNDERSTAND  ITS  TERMS, UNDERSTAND  THAT  YOU HAVE GIVEN  UP  SUBSTANTIAL  RIGHTS  BY  SIGNING  IT  AND  HAVE  SIGNED  IT  VOLUNTARILY, FREELY  AND  WITHOUT INDUCEMENT  OR  ASSURANCE  OF  ANY  NATURE  AND  INTEND  IT  TO  BE  A  COMPLETE  AND UNCONDITIONAL  RELEASE  OF  ALL  LIABILITY  TO  THE  GREATEST  EXTENT  ALLOWED  BY  LAW AND AGREE  THAT  IF  ANY  PORTION  OF  THIS  AGREEMENT  IS  HELD  TO  BE  INVALID  THE BALANCE,  NOTWITHSTANDING,  SHALL  CONTINUE  IN  FULL  FORCE  AND  EFFECT.   

Today's Date: August 26, 2019

First Individual In Charge's Name

First Name*

Last Name*
First Individual In Charge's Date of Birth*
I certify that I am 18 years of age or older
First Individual In Charge's Signature*
Second Individual In Charge's Name

First Name*

Last Name*
Second Individual In Charge's Date of Birth*
Third Individual In Charge's Name

First Name*

Last Name*
Third Individual In Charge's Date of Birth*
Fourth Individual In Charge's Name

First Name*

Last Name*
Fourth Individual In Charge's Date of Birth*
Fifth Individual In Charge's Name

First Name*

Last Name*
Fifth Individual In Charge's Date of Birth*
Sixth Individual In Charge's Name

First Name*

Last Name*
Sixth Individual In Charge's Date of Birth*
Seventh Individual In Charge's Name

First Name*

Last Name*
Seventh Individual In Charge's Date of Birth*
Eighth Individual In Charge's Name

First Name*

Last Name*
Eighth Individual In Charge's Date of Birth*
Ninth Individual In Charge's Name

First Name*

Last Name*
Ninth Individual In Charge's Date of Birth*
Tenth Individual In Charge's Name

First Name*

Last Name*
Tenth Individual In Charge's Date of Birth*
Individual In Charge's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Visit

Date of visit *
Individual In Charge's Information

Position *

Name of Organization *
I HEREBY STATE THAT I HAVE THE PERMISSION OF THE PARENTS/LEGAL GUARDIANS TO BRING THE AFOREMENTIONED CHILDREN TO THE PLAYGROUND AND SIGN THIS WAIVER ON THEIR BEHALF.
Individual In Charge's Name

First Name*

Last Name*
Individual In Charge's Date of Birth*
I certify that I am 18 years of age or older
Individual In Charge'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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver