Loading...

RELEASE OF LIABILITY WAIVER

RELEASE OF LIABILITY

I have voluntarily chosen to or have allowed my child to participate in the program and/or activities offered by BellaJames LLC dba The Alley. I agree and understand that the program and activities at The Alley, including but not limited to the Indoor Playground are hazardous and risky activities which may result in injury or death during my participation and presence at The Alley.

I hereby ​EXPRESSLY ASSUME ALL RISKS, to the fullest extent allowed by law, associated with my presence at The Alley, my use of The Alley facilities and equipment and my participation in the programs and activities at The Alley.

I ​AGREE NOT TO SUE AND TO RELEASE FROM LIABILITY​ BellaJames LLC, The Alley, or any of their parent companies or subsidiaries, owners, employees, agents, affiliates, managers, and landowners (collectively " The Alley ") for any damage or injury arising out of your presence at The Alley, participation in the programs and activities offered by The Alley, or use of The Alley facilities and equipment, including the alleged ​NEGLIGENCE​ of The Alley, to the fullest extent allowed by law. I ​AGREE TO DEFEND, INDEMNIFY AND HOLD HARMLESS​ The Alley for any damages, attorneys' fees, or costs arising out of a claim or lawsuit.

I recognize that medical or dental care may be necessary for me. I authorize The Alley to render first aid and to call for medical or dental care for myself, or to transport me to the nearest clinic or a hospital if, in the opinion of anyone working at The Alley, such medical attention is needed. I agree to pay all costs associated with such medical care and related transportation and INDEMNIFY​and HOLD HARMLESS ​The Alley from any costs incurred therein.

I understand that the foregoing is a ​RELEASE OF LIABILITY​ and a ​MEDICAL AUTHORIZATION​ that is legally binding on me, my heirs and legal representatives. It is a legally binding contract which is intended to provide as comprehensive and broad a release of liability, indemnification and express assumption of risk agreement as is legally possible, but it is not intended to assert any claims or defenses which are prohibited by law. I sign it voluntarily and of my own free will. I acknowledge that the foregoing is binding on me during my presence and participation at this time and into the future at The Alley.

I understand and agree that this agreement is severable and that if any clause is found to be invalid, the balance of the agreement will remain in effect and will be valid and enforceable. I agree that any action will be brought in the County of Sacramento and any disputes will be subject to and determined under the laws of the State of California.

In addition, I agree to follow the rules of conduct and play set forth by The Alley and understand that my failure to do so may result in my suspension from participation.

I hereby give The Alley and its assigns permission to use photographs, pictures or other likeness of me and to publish the same without incurring any debts or liabilities to me.

Playground Rules and Regulations:

  • Children MUST be supervised by a parent or adult (ages 16 & older) at all times in the play area.
  • Play equipment has designated areas for children ages 1-13.
  • Please use caution when using the play equipment. Do not place children on laps when sliding.
  • Shoes, loose articles of clothing, and jewelry must be removed prior to access to the playground.
  • Socks MUST be worn at all times
  • Slide one at a time in a forward seated position, feet first. No climbing up slides.
  • No climbing or standing on the outside of the play equipment.
  • No running.
  • No food, gum, or drinks on the play equipment at any time.
  • Do not bring toys or other items into the play equipment.
  • Please notify management or any problems or concerns


THIS IS A RELEASE OF LIABILITY.

 

DO NOT SIGN IF YOU DO NOT UNDERSTAND OR AGREE WITH ITS TERMS.  

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
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.
Parent or Guardian's Name

First Name*

Last Name*

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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!