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Waiver, Release, Hold Harmless, and Indemnification Agreement

October 10, 2024

This is a mandatory waiver that must be filled out by every participant who is entering the building including parents, caretakers, minor children, and friends of those minor children that have signed up for activities, classes, events, birthday parties, and open play. By not signing this waiver, we, Oak Harbor Playtown, and its staff, have the right to refuse service and entry to the premises.

This waiver releases Oak Harbor Playtown, LLC from injury resulting from participating in events, play, classes, or birthday activities on the premises located at 210 SE Pioneer Way, Unit 4, Oak Harbor, WA 98277 or any future locations. By providing the information listed below, you are acknowledging that all participation is completely voluntary and by signing it, you are willingly participating, including those minors whose information is submitted in this waiver, to release Oak Harbor Playtown from any injury, theft, or damage done while on the premises.

By signing this waiver, I shall comply with the stated and customary terms, rules, and conditions for participation in any party and/or program at Oak Harbor Playtown, LLC of Oak Harbor, WA 98277. In addition, if I observe any hazard during my participation, I will bring it to the attention of the nearest official immediately.


General Rules

  • Each participant must have a liability waiver submitted to the front desk
  • To minimize the spread of disease and illness, if you or your child is sick, please stay home
  • You MUST wash your hands or use hand sanitizer (washing hands with soap & water is preferable)
  • No outside food (simply due to allergies). Snacks & drinks are available for purchase ($0.50-$1.00)
  • Socks must be worn at all times while in the facility. 
  • No shoes in the gated play area. 
  • No wrestling or rough play
  • No food, candy, gum, or drinks in the gated play area. 
  • Oak Harbor Playtown is not responsible for any lost or stolen items
  • Parents, please watch your kids to make sure they are following the rules. We are not responsible for the supervision of your children. Parents must be on site at all times.

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First Attendees Name

First Name*

Last Name*

Phone*
First Attendees Date of Birth*
First Attendees Signature*
Second Attendees Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

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

First Name*

Last 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.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
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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