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PANDA PLAYTIME AND PARTIES WAIVER

As consideration for being allowed to enter this play area and/or participate in any party and/or program at Playtime and Parties, the undersigned, on his behalf, and on the behalf of the Participant(s) identified below, acknowledges, appreciates, understands, and agrees to the following:

1. I represent that I am the parent or legal guardian of the Participant(s) named below or I have obtained permission from the parent/legal guardian of the Participant(s) named below to execute this agreement on their behalf.

2. I acknowledge and understand that there are risks associated with participation in activities at Playtime and Parties and the use of play area and inflatable equipment including, but not limited to contusions, fractures, scrapes, cuts, bumps, paralysis, or death.

3. I, for myself and the Participant(s) named, willingly assume the risks associated with participation and accept that there are also risks that may also occur due to OTHER PARTICIPANTS which I also willingly assume.

4. I agree that the Participant(s) named, and I shall comply with all stated and customary terms, posted safety signs, rules and ventral instructions and conditions for participation in any party and/or program at Playtime and Parties.

5. I for myself, the Participant(s)name, our heirs, assigns representatives, and next of kin agree to hold harmless and indemnify the independent owner, officers, and employees from any and all injuries, liabilities or damages from participation.

6. I additionally agree to indemnify the independent owner of Playtime and Parties, their predecessors, parents, subsidiaries and affiliates, officers and employees for any cost or expense arising from any and all claims, injuries, liabilities or damages from participation.

7. I am of physical ability to participate and am legally competent to understand and complete this agreement; I hereby execute this agreement without coercion.

8. I nor anyone in my house has had a fever, cough, or been exposed to covid in the last 24 hrs

Today's date: May 28, 2022

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's 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*
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*
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Additional Information
Parent or Guardian 18 years of age or older*
No
Yes
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*
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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