I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing.
I further acknowledge that Recess Playspace LLC has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19.
I further acknowledge that Recess Playspace LLC can not guarantee that I will not become infected with the Coronavirus/Covid-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, salon staff, and other salon clients and their families.
I voluntarily seek services provided by Recess Playspace LLC and acknowledge that I am increasing my risk to exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread while attending my appointment.
I attest that:
* I am not experiencing any symptom of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell.
* I have not traveled internationally within the last 14 days.
* I have not traveled to a highly impacted area within the United States of America in the last 14 days.
* I do not believe I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19.
* I have not been diagnosed with Coronavirus/Covid-19 and not yet cleared as non contagious by state or local public health authorities.
* I am following all CDC recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19.
I hereby release and agree to hold Recess Playspace LLC harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of the salon, or that may otherwise arise in any way in connection with any services received from Recess Playspace LLC. I understand that this release discharges Recess Playspace LLC from any liability or claim that I, my heirs, or any personal representatives may have against the salon with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from Recess Playspace LLC. This liability waiver and release extends to the salon together with all owners, partners, and employees.
I, Client of Recess Playspace, LLC, DBA Recess PlayWorks (hereinafter referred to as Company) and the Parent to the Child(ren) listed above, hereby consent to the administration of emergency medication to the above-named Child(ren) in instances of ingestion of a severe allergen, anaphylaxis and/or other, allergy- related emergency according to the dosing instructions provided to Company staff.
When a child is ill or needs medical attention, The Company will make an effort to get in touch with the off-site parent/guardian that signed the child into the Playspace. If that parent/ guardian cannot be reached, We will make an effort to contact the second parent/guardian and/or the listed emergency contact. If they cannot be reached and we need to get immediate help for the child, the child will be taken to the nearest emergency service, via ambulance.
Please sign below so that we can take appropriate action on behalf of your child.
I HEREBY GIVE MY/OUR CONSENT FOR MY/OUR CHILD(REN) WHEN ILL AND/OR INJURED, TO BE TAKEN TO THE NEAREST EMERGENCY CENTER IF I/WE CANNOT BE CONTACTED. I CONSENT TO AN AMBULANCE BEING CALLED TO TRANSPORT THE CHILD, IF NECESSARY. I FURTHER AGREE TO PAY ALL COSTS INCURRED FOR TRANSPORT AND ALL MEDICAL COSTS RELATED TO INJURY AND/ OR ILLNESS.
Please carefully read these Terms and Conditions of Use (“Terms and Conditions”) before using www.recessplayworks.com (the Website), the Co-Work Services or the Childcare Services (collectively, “Services” outlined below) of Recess Playspace, LLC (the “Company”). This Agreement for Terms and Conditions of Use (“Agreement”) is made and entered into and the effective date of signing by and between the Company, Recess Playspace, LLC, a Connecticut Limited Liability Company located on 66 Danbury Road, Ridgefield, CT and the party’s whose name is contained in the registration form (“Client”) and is signed on behalf of Client and Client’s child or children (hereinafter referred to as “the Child”) who participate in the Company’s activities.
Release and Waiver of Liability
By signing this Agreement, the Client, on behalf of him or herself, the Child and the Client’s spouse, heirs, next of kin, assigns, executors, administrators, Clients, agents successors, employees, representatives, invitees, licensees or any other who may claim on Client or the Child’s behalf (collectively referred to hereinafter as “Client”) herby voluntarily and irrevocably promises not to sue, and waives, releases and discharges the Company, its Clients, owners, employees, trustees, contractors, volunteers, representatives, agents, assigns licensees, invitees and successors, and anyone else acting for on its behalf the owner/lessor of the Premises, and/or anyone using the Premises (collectively referred to hereinafter as
“Company”) from any and all liability present, past and in the future, losses claims, demands, actions or rights of action, costs or expenses (including without limitation, reasonable attorneys’ fees and costs), or damages of any kind related to, relating to, arising out of, or incidental to Client or the Client’s Child with Company; the Client Services; Client or Child’s use of the Premises or the business conducted by Client therein; any other programs offered or sponsored by Company; any actor or omission by Client or Child; or any default by Client under this Agreement. This Release and Waiver applies to all claims, foreseen and unforeseen, including negligence and breach of statutory or other duty of care. CLIENT UNDERSTANDS AND AGREES THAT THIS RELEASE AND WAIVER IS INTENDED TO BE AS BROAD AND INCLUSIVE AS PERMITTED BY LAW, THIS RELEASE AND WAIVER INCLUDES WITHOUT LIMITATION, INJURIES WHICH MAY OCCUR AS A RESULT OF EQUIPMENT THAT MAY MALFUNCTION OR BREAK; ANY SLIP OR FALL WITHIN PREMISES; AND ANY OTHER AILMENTS, INJURIES, OR DEATH. Client agrees that if Client or Child, or anyone on Client or Child’s behalf, assert a claim contrary to what Client has agreed to therein, the claiming part shall be liable for the expenses (including legal fees) incurred by Company in defending such claim. CLIENT UNDERSTANDS THAT HE OR SHE HAS FORFEITED HIS OR HER AND THEIR CHILD’S RIGHT TO SUE COMPANY, ANT THAT THIS IS A RELEASE OF LIABILITY THAT IS VALID FOREVER.
Client further voluntarily and irrevocably agrees to indemnify, defend and hold harmless, at his or her sole expense, Company of and from any and all liability present, past and in the future, losses, claims, demands, actions or rights of action, costs or expenses (including without limitation, reasonable attorneys’ fees and costs), or damages related to, relating to, arising out of, or incidental to Client and Client’s Child with Company; the Client Services; Client or Child’s use of the Premises or the business conducted by Client therein; and any other programs offered or sponsored by Company; any act or omission by Client or Child; or any default by Client under this Agreement, including but not limited to damages in respect of death, injury, loss or damage to Client or Child, such as personal, bodily , or mental/ emotional injury, economic loss or any damage to Client or Child, or by Client or Child how so ever caused. Client acknowledges that Company shall not be responsible for damages, direct or consequential, resulting from any delay, unavailability, failure or interruption of any of the Client Services described under this Agreement or agreed to by Company.
Acknowledgment and Assumption of Risks
Client acknowledges and agrees that the use of Company’s Co-work and Playspace Services pose inherent risks that may result in injury , even serious or disabling, or death to Client and Child, and that this risk is always present and cannot be entirely eliminated. Client assumes full responsibility for his or her conduct and the conduct of his or her Child. CLIENT HEREBY VOLUNTARILY AND EXPRESSLY ASSUME ALL AND ANY RISKS INHERENT IN CLIENT AND CHILD’S PARTICIPATION IN THE CO-WORK AND THE PLAYSPACE AND ON THE COMPANY PREMISES INCLUDING THE RISK OF INJURY, ACCIDENT, DEATH, LOSS, COST OR DAMAGE TO CLIENT OR HIS OR HER CHILD’S PERSON OR PROPERTY. THIS RELEASE EXPRESSLY INCLUDES THE ASSUMPTION OF RISK AND RELEASE OF ANY CLAIMS FOR INJURIES OR DAMAGES ALLEGED TO RESULT
FROM OR ARISE OUT OF ANY NEGLIGENCE BY THE COMPANY, INCLUDING WITHOUT LIMITATION, ALL PREMISES OR PRODUCT’S LIABILITY CLAIMS.
CLIENT RECOGNIZES THAT BY SIGNING THIS AGREEMENT, CLIENT IS WAIVING CERTAIN LEGAL RIGHTS INCLUDING ANY RIGHT OF THE CLIENT OR THE CLIENT’S SPOUSE, HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATOR AND ASSIGNS MIGHT HAVE TO BRING A LEGAL ACTION OR ASSERT A CLAIM AGAINST COMPANY. CLIENT INTENDS FOR CLIENT’S SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF LIABILITY OF COMPANY TO THE GREATEST EXTENT PERMITTED BY LAW.
Today's Date: August 10, 2020