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BULL TRANS GROUP, INC. dba PLAYROOM CAFE LLC and PLAYROOM CAFE TWO LLC

2075 Calamos Court, Naperville IL 60563 

141 Randhurst Village Dr. Mount Prospect 60056

LIABILITY WAIVER AND HOLD HARMLESS AGREEMENT

   




 

      As parent or legal guardian of the child whose name is set forth below (who is referred to herein as the “Participant”) and in consideration of the Participant being permitted to participate in the Activities (as defined below) conducted by Bull Trans Group, Inc. dba Playroom Café LLC and Playroom cafe Two LLC (“Playroom”), the Participant and I agree as follows:

 1. Activities - The Participant will participate in various activities offered by Playroom (the "Activities"), including but not limited to, the following: use of the toys and equipment in the Playroom.

2. Assumption Of Risk - I understand that the Activities entail the risk of severe bodily injury to the Participant. Injuries that could result will vary, but may include (a) minor injuries such as scratches, bruises and sprains; (b) major injuries such as eye injury or loss of sight, joint or back injuries and concussions; and (c) catastrophic injuries, including paralysis and even death. Notwithstanding these risks and other hazards that may be foreseeable but not specifically identified herein, I, for myself and the Participant and our respective heirs, personal representatives and assigns, understand, acknowledge, and expressly and voluntarily assume all risks and full responsibility for any injury arising out of or related to the Activities.

3. Release, Discharge and Agreement Not To Sue - I, for myself and the Participant and our respective heirs, personal representatives and assigns, do hereby release, discharge and agree not to sue Playroom and its managers, members, employees and/or other agents, for any injury to or death of the Participant arising, directly or indirectly, from participation in the Activities. This release, discharge and covenant not to sue shall relate to any and all claims or legal rights now existing or arising in the future, including claims and legal rights arising out of any negligence of Playroom and/or its managers, members, employees and/or other agents and any other breach of a legal duty arising out of common law, statute, contract or otherwise.

4. Indemnification And Hold Harmless – I agree to indemnify Playroom and hold Playroom harmless from, without limitation, any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney's fees and costs, incurred due to claims brought by any third party as a result of or arising out of the Participant's involvement in the Activities and to reimburse Playroom for any such costs, expenses and fees as they are incurred.

5. Security Cameras - I understand that security cameras installed within and around the facility are for the safety of all participants and may be referenced should any incident or injury occur. 

6. COVID-19 Warning - An inherited risk of exposure to Covid-19 exists in any public place where people are present. COVID-19 is an extremely contageous disease that can lead to ssevere illness and death. According to the Center of Disease of Control and Prevention, senior citizens and guests with underlying medical conditions, are at higher risk for contracting the disease. Participation includes possible exposure to an illness from infectious disease including but not limited to Covid-19. 

By visiting Playroom Cafe LLC, you assume all risks related to Covid-19 and other infectious disease.

7. Personal property - I acknowledge that all personal items, left, or forgotten at Playroom facility, is left at my own risk and the company is not responsible for any stolen, damages, or forgotten items.

8. "As Is Condition" - I acknowledge that the Playroom makes no representation as to the condition of the play structure or any toys, and or equipment used within the facility. I acknowledge that I, and any participant(s) in my care, will use the facility and any equipment in its "As is Condition" and assume all known and unknown risks associated to the Participant(s) in any activities at the facility, including but not limited to: falls, slips, impact with toys, equipment or other children. 

9. Parent Or Legal Guardian Certification And Consent -I hereby certify that I am the parent or legal guardian of the Participant whose name appears below, and I have authority to waive rights on behalf of the minor Participant. I have read and I understand all of the provisions of this document and the risks of the Activities. I understand that the Activities could cause injury and even death. I acknowledge that I have read and understand the terms of this document and I am freely and voluntarily signing this document.

10. Severability - This document is intended to be as broad and inclusive as is permitted by the laws of the State of Illinois and if any provision (or a part of any provision) contained herein is deemed to be invalid, the balance of the provisions shall continue in full legal force and effect, notwithstanding such invalidity.

I HAVE READ THIS AGREEMENT THOUROGHLY. I UNDERSTAND THAT BY SIGNING THIS AGREEMENT, I AM WAVING CERTAIN LEGAL RIGHTS, WHICH I, THE PARTICIPANT(S), AND OUR HEIRS, ASSIGNEES, EXECUTORS, ADMINISTRATORS, AND PERSONAL REPRESENTATIVES, HAVE AGAINST THE RELEASEES, INCLUDING THE RIGHT TO SUE. I HAVE BEEN AFFORDED THE OPPORTUNITY TO REFUSE THE PARTICIPANT(S) PARTICIPATION IN THE ACTIVITIES, BUT I HAVE FREELY AND VOLUNTARILY ELECTED TO SIGN THIS AGREEMENT. 

 




First Minor's Name

First Name*

Last Name*
First Minor's Date of Birth*
First Minor's Signature*
Second Minor's Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

Email*

Confirm Email*
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*

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.


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