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Please sign our waiver before visiting!

I acknowledge and agree that am the legal guardian or assigned caretaker of the listed minor. I acknowledge that as a condition of my participation I am required to read, understand and sign this waiver and release, and abide by the terms and conditions of my participation contained in this waiver and release, and all other rules of participation set by The Hollow. FIRST, I understand that I am resposible for the child in my care at all times while at The Hollow. I acknowledge and agree that while I am physically present at The Hollow, I am responsible for the behavior and well-being of the children in my care whether a playroom is supervised or unsupervised. I acknowledge and agree that The Hollow shall not be liable for any loss or damage to person or property as a result of my failure or the failure of anyone at The Hollow to supervise or otherwise attend to my child or others. SECOND, I understand playing at The Hollow can be dangerous. I am aware that Playing at The Hollow could result in physical injury or even death as well as damage to my property. I HEREBY voluntarily choose to play at The Hollow or drop my child off at The Hollow despite the risks to me or my child. I fully assume responsibility for all risks of physical harm or property damage in any form to me or my child that may occur as a result of our visit to The Hollow, however caused. I acknowledge and agree that I and my child may be dismissed by any The Hollow staff, employee, owner, or authorized representative if l do not abide by the rules and policies instituted by The Hollow. THIRD, because I am aware of the risks of playing at The Hollow and because I nevertheless choose to do so, The Hollow should not be responsible for any loss, liability, damage, or injury that happens as a result of my visit to or participation in the activities at The Hollow. I acknowledge and agree that if medical assistance of any form is required or performed as a result of any injury I or my child sustains while playing or being present at The Hollow, such medical assistance shall be at my own expense. I HEREBY agree to indemnify, hold harmless, waive and release forever The Hollow and their owners, managers, employees, contractors, agents and other representatives from any loss, liability, injury, damage, or costs, including court costs and attorneys' fees that any of them may incur due to my presence and/or playing at The Hollow. By signing below, I represent that I am the legal guardian or assigned caretaker and have the authority to execute this waiver and release on behalf of both the child and the assigned caretaker, and I have read each and every paragraph of this waiver and release and I agree to be bound by the terms stated herein, including the release of liability contained herein. 

COVID-19 ASSUMPTION OF RISK: Knowing the dangers, hazards, and risks of visiting The Hollow, and in consideration of being permitted and/or the minor(s) in my party being permitted to visit The Hollow, I hereby choose to accept these dangers, hazards, and risks for myself and/or the minor(s) in order to utilize The Hollow’s services and enter The Hollow’s premises. 

I HAVE READ THIS ENTIRE DOCUMENT AND BY SIGNING IT I AGREE THAT I AM BOUND BY IT AND I BIND MY SUCCESSORS TO IT. 

First Visiting Caretaker Name

First Name*

Last Name*
First Visiting Caretaker Date of Birth*
First Visiting Caretaker Signature*
Second Visiting Caretaker Name

First Name*

Last Name*
Second Visiting Caretaker Date of Birth*
Third Visiting Caretaker Name

First Name*

Last Name*
Third Visiting Caretaker Date of Birth*
Fourth Visiting Caretaker Name

First Name*

Last Name*
Fourth Visiting Caretaker Date of Birth*
Fifth Visiting Caretaker Name

First Name*

Last Name*
Fifth Visiting Caretaker Date of Birth*
Sixth Visiting Caretaker Name

First Name*

Last Name*
Sixth Visiting Caretaker Date of Birth*
Seventh Visiting Caretaker Name

First Name*

Last Name*
Seventh Visiting Caretaker Date of Birth*
Eighth Visiting Caretaker Name

First Name*

Last Name*
Eighth Visiting Caretaker Date of Birth*
Ninth Visiting Caretaker Name

First Name*

Last Name*
Ninth Visiting Caretaker Date of Birth*
Tenth Visiting Caretaker Name

First Name*

Last Name*
Tenth Visiting Caretaker Date of Birth*
Parent/Guardian's Email Address

Email*

Confirm Email*
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Photography
I grant permission for my child(ren) and/or myself to be photographed while at The Hollow. I understand these images may be used on The Hollow website, social media accounts, and/or in print.*
Yes
No
Ages 2.5+
Adults with children 2.5 years and older are welcome to monitor their child from the seating in our lounge area. A staff member will be present in the playroom to provide support. All adults are responsible for the well-being and behavior of the children in their care. If a child over 2.5 years old needs additional support, their adult may be asked to accompany them on the playroom floor. *
I understand and agree
Covid-19
By signing this waiver, I agree that per NY state regulations, only adults with the Covid-19 vaccine are permitted inside The Hollow. All adults must show proof of vaccine and a photo ID at each visit. I also understand and agree all children 2 years old and above must wear a mask at all times when inside The Hollow.*
Yes
No
Know Before You Go
By signing this waiver, I acknowledge that I have read and accept the Know Before You Go Page in its entirety.*
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.
Parent/Guardian's Name

First Name*

Last Name*

Relationship*
Parent/Guardian's Date of Birth*
Parent/Guardian's Signature*
Electronic Signature Consent*
By sending the form below I forfeit all rights to bring a suit against The Hollow and affiliates for any reason. In return I will also make every effort to obey safety precautions as listed in writing and explained to me verbally, in efforts to keep The Hollow experience positive. I agree to take full responsibility for the child(ren) in my care. I have read, heard, and understand rules and understand that I will ask for clarification when needed.


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