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Playground Waiver

Outer Space Seattle LLC




All ages under 18 MUST HAVE a liability waiver signed by their parent, legal guardian, or adult (18+ year old) responsible for the child(ren) entering OUTER SPACE SEATTLE, LLC. A SIGNED WAIVER IS REQUIRED FOR ALL ACTIVITIES AT OUTER SPACE SEATTLE, LLC

I understand and acknowledge that if I proceed to register online and to sign the waiver electronically, that, I have the capacity and authority to do so and under the Electronic Transactions Act, such electronic registration and electronically signed Waiver document will be valid and enforced in the same manner as a hand-signed document that exists in physical form; and that a record or signature may not be denied legal effect or enforceability under law solely because it is in electronic form.

The undersigned on the behalf of the participants below, acknowledges and agrees to these conditions: I voluntarily agree to abide by the stated customary terms, rules and conditions for participation in any party and/or program at OUTER SPACE SEATTLE, LLC. If I witness any hazard or peril during my or my child(dren)’s participation, I will immediately bring it to the attention of an employee. I understand there is inherent risk of injury from any play equipment and where children are present at play. I acknowledge that while the rules, equipment design, and supervision reduce risk, the risk of possible injury does exist. I voluntarily assume all risks to include known and latent risks of harms, even if stemming from the negligence of other participants, the adult responsible for the participant or employees. I, on behalf of my heirs, assigns, personal representatives, the participant or their parents or legal guardians or assigns, and next of kin, hereby hold harmless OUTER SPACE SEATTLE, LLC employees, owners and affiliates with respect to any and all injury, disability, loss or damage to person and/or property to the fullest extent of the law.
 


 

First Adult's Name

First Name*

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

First Name*

Last Name*
Second Adult's Date of Birth*
Third Adult's Name

First Name*

Last Name*
Third Adult's Date of Birth*
Fourth Adult's Name

First Name*

Last Name*
Fourth Adult's Date of Birth*
Fifth Adult's Name

First Name*

Last Name*
Fifth Adult's Date of Birth*
Sixth Adult's Name

First Name*

Last Name*
Sixth Adult's Date of Birth*
Seventh Adult's Name

First Name*

Last Name*
Seventh Adult's Date of Birth*
Eighth Adult's Name

First Name*

Last Name*
Eighth Adult's Date of Birth*
Ninth Adult's Name

First Name*

Last Name*
Ninth Adult's Date of Birth*
Tenth Adult's Name

First Name*

Last Name*
Tenth Adult's Date of Birth*
Parent/Guardian/Adult Email Address

Email*

Confirm Email*
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.


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/Guardian/Adult Name

First Name*

Last Name*

Relationship*
Parent/Guardian/Adult Date of Birth*
I certify that I am 18 years of age or older
Parent/Guardian/Adult Signature*
Electronic Signature Consent*
 By entering my name below and clicking the “Agree to Sign” button below, I indicate I have the authority to grant my acceptance and delivery of this waiver and release and that the information is truthful and accurate to the best of my knowledge on behalf of myself and the minor for which I am signing on behalf of. I acknowledge that I have been given an opportunity to prevent or correct any error in connection with this waiver form. If I have submitted this waiver form in error, I will immediately notify an employee of OUTER SPACE SEATTLE, LLC of the error, revoke my signature as instructed, and refrain from participating in any event or activity to which the waiver applies, as provided in Section 204(b) of the Uniform Electronic Transactions Act.


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