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My Little Paris
416 E. Las Tunas Dr, Unit C
San Gabriel, CA 91776

 

NEW CUSTOMER FORM

Assumption of Risk, Waiver, and Release from Liability

PLEASE READ CAREFULLY BEFORE SIGNING

This is a legally binding agreement. By signing this agreement, you are giving up certain legal rights, including the right to bring certain claims or lawsuits to recover damages if you and/or your child(ren) are injured while participating in activities or use of the play areas at My Little Paris. You have the right to refuse to sign this agreement.  However, My Little Paris reserves the right to refuse participation in the play area, parties, programs, or activities if a required waiver has not been completed.

PARENT/GUARDIAN AUTHORITY & RESPONSIBILITY

In consideration of being permitted to enter and use the play areas and/or participate in any party, event, program, or activity at My Little Paris, I, on behalf of myself and the participant(s) identified below, acknowledge and agree to the following:

I represent that I am the parent or legal guardian of the participant(s) identified below, or I have obtained permission from the participant's parent/legal guardian to supervise the participant and execute the agreement on their behalf. 

I understand and agree that I am responsible for the supervision, safety, and behavior of the child(ren) in my care at all times during each visit. Children must remain under active adult supervision and within clear view of their supervising adult. My Little Paris employees do not provide childcare or individual supervision of children.

I agree that the participant(s) in my care and I shall comply with all posted rules, safety signs, and verbal instructions from My Little Paris employees. If I observe a condition that I believe may be unsafe, I will immediately notify a My Little Paris employee.

I am aware that there are inherent risks associated with participation in My Little Paris parties, program and I, on behalf of myself and the participant(s) named below, knowingly and freely assume all such risk, both known and unknown, including those that may arise out of the negligence of participants.

ASSUMPTION OF RISK AND RELEASE OF LIABILITY

I understand that participation in indoor play activities involves inherent risks that cannot be completely eliminated, even when reasonable precautions are taken.

These risks may include, but are not limited to, running, climbing, jumping, crawling, slipping, tripping, falling, collisions with other participants or objects, contact with play equipment or toys, and the actions or behavior of other children or guests. Such risks may result in minor or serious injury.

I, for myself and the participant(s) named below, accept personal responsibility for the damages following such injury, permanent disability or death, including those resulting from the negligence of My Little Paris. I, for myself and the participant(s) named below, knowingly and freely assume all risks, both known and unknown, even those arising from the negligent acts or omission of others and assume full responsibility for our own participation.

I, for myself and the participant(s) named below, and our respective heirs, assigns, administrators, personal representatives, and next of kin, agree to indemnify and hold harmless, My Little Paris management, their affiliates, employees, other participants, and sponsoring agencies from and against any and all claims, injuries, liabilities or damages arising out of or related to our participation in any and all My Little Paris programs, activities, parties, and the use of the play areas.

PLAYGROUND RULES & SUPERVISION

I understand and agree that:

  • A responsible adult must actively supervise the child(ren) in their care at all times.
  • Socks are required inside the play areas; grip socks are highly recommended.
  • Age restrictions for particular play areas and equipment must be followed.
  • Food, beverages, candy, and gum are not permitted inside the play areas.
  • Running, rough play, throwing toys, climbing on equipment in unintended ways, and misuse of toys or equipment are prohibited.
  • Children and adults must follow posted rules and instructions from My Little Paris employees.
  • Participants should use play equipment only in the manner for which it is intended.
  • Children who are ill or experiencing symptoms of a communicable illness should not enter the play area.
  • Diaper changing is not permitted in the play areas.  Baby changing stations are available in the restrooms.

I understand that My Little Paris reserves the right to restrict access to equipment or play areas and to ask any child or adult who does not follow safety rules, behaves in a manner that may endanger themselves or others, or appears to have a communicable illness to leave the premises. Removal for failure to follow safety rules or this agreement may be without refund.

My Little Paris may, when reasonably appropriate, require medical clearance before allowing a participant who has recently experienced a potentially contagious illness to return.

PHOTOGRAPHY & VIDEO

I understand that My Little Paris may occasionally take photographs or video recordings inside the facility for social media, website, or other business purposes.

Unless I notify My Little Paris that I wish to opt out, I grant My Little Paris permission to photograph or record me and/or the participant(s) in my care and to use such photographs or recordings for legitimate business purposes without compensation.

I understand that I may opt out of photography or video recording at any time by notifying a My Little Paris employee upon arrival or when photography or filming is taking place. Upon receiving such notice, My Little Paris will make reasonable efforts not to intentionally photograph or film me or the child(ren) in my care.

I understand that because My Little Paris is a shared public-facing environment, an opted-out guest may occasionally appear incidentally in the background of photographs or video. Upon being made aware of an opt-out request, My Little Paris will make reasonable efforts to avoid intentionally featuring or identifying that guest.

ACKNOWLEDGMENT

I acknowledge that I have carefully read this agreement, understand its terms, and understand that it includes an assumption of risk and release of certain legal rights.

I understand that I am signing this agreement voluntarily and that I have had the opportunity to ask questions before signing.

By selecting "I Agree" and/or signing below, I acknowledge that I understand and agree to the terms of this Assumption of Risk, Release of Liability & Participation Agreement.

I Agree

August 27, 2026

First Participant's Name
First Name*
Last Name*
Phone*
Select Gender
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Check to receive information, news, and discounts by e-mail.
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
Zip Code *
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*
Select Gender
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
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.


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