Loading...

 

Play Time - Membership Agreement 

 

Unlimited Play Time Membership during Open Playtime Hours

I understand capacity is limited and membership is not a guaranteed admission.  

I Agree

I understand this monthly membership is for our open playtime hours. Special events are not included and might require an additional cost/ticket.

I Agree

We ask that you keep your membership for at least 2 months.  You are free to cancel anytime after that. Please give us 7 days notice in writing.  

I Agree

This is a recurring monthly membership plan charged every month to your card on file. If you would like to add or deduct a child from your plan, a new agreement will need to be done and the 2 month minimum will restart.  

I Agree

Card on file will be charged each month, if your card declines for any reason we will send an email reminder to pay upon receipt and/or update your card, however, if we do not receive payment in a timely manner, you will be cancelled and lose membership privileges.  

I Agree




First Member Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

Email*

Confirm Email*
Auto Pay
I authorize Ginger Bugs to automatically take payment using the current payment method saved on file for my account. via secure Square Payment System until my agreement is cancelled in writing*
Agree

Name on Credit Card *

Please enter your CC number *

MM/YY *

CCV *

Billing Address Zip Code *
Terms & Conditions
I understand that membership is not a guaranteed playtime admission. limited capacity applies.*
Yes
No
I understand that I need to keep the membership for at least 2 months however, can cancel anytime by giving a notice in writing at least 7 days before the next auto payment.*
Yes
No
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*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!