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Participation Agreement

Definitions:

Participant means any person on whose behalf You are signing this form.

Play Street Museum means any Play Street Museum location, Mixer’s Collective, LLC, PSM Holdings, LLC, PSM Ventures, LLC, or any of its owners, directors, employees, representatives, volunteers, affiliates, successors, or assigns.

You or Your means the person whose signature appears on the bottom of this form.

ASSUMPTION OF RISK

You (which means the person whose signature appears on the bottom of this form) understand that there is a natural risk of injury, whether caused by Participant (which means any person on whose behalf You are signing this form) or someone else, in the use of or presence at Our (which means Mixer’s Collective, LLC, the independent owner of the Play Street Museum Vancouver location) Play Street Museum location, the use of Our equipment and services, and participation in any Play Street Museum-related activities. These activities include but are not limited to, the use of any Play Street Museum toys, equipment, exhibits, or materials, and/or Play Street Museum events, private parties, community, school, or non-profit programs hosted by Play Street Museum. You understand that the risk of injury includes, but is not limited to:

  1. Any accidental or "slip and fall" injuries; and
  2. Injuries or medical disorders (such as heart attacks, strokes, heart stress, head injuries, sprains, cuts, bruises, broken bones and torn muscles or ligaments) resulting from Your use of or presence at Our Play Street Museum location, Participant's use of equipment or services at Our Play Street Museum location, or Your or the Participant’s participation in any Play Street Museum activities. You understand and voluntarily accept this and all risk on behalf of Participant.​

You specifically acknowledge that, if you are not a parent or legal guardian of the Participant, that you have discussed the terms of this Agreement with the Participant’s parent or legal guardian and have been given the authority by the Participant’s parent or legal guardian to sign this Agreement on the Participant’s behalf.

You understand that You must monitor the Participant at all times as the potential exists for there to be a choking hazard or other safety concern.

You approve the use of any pictures that may be taken at Our Play Street Museum location, in which the Participant is part of, to be used on any Play Street Museum website, social, or print media, and marketing advertisements.

In consideration for being allowed to enter and use Our Play Street Museum location, you agree not to copy or replicate Play Street Museum’s recognizable trade dress or business methods in a play facility. If you have any questions as to what constitutes Play Street Museum’s protectable methods and intellectual property or wish to seek permission to use the same, please reach out to: info@playstreetmuseum.com.

RELEASE OF LIABILITY

You specifically waive Your right and/or Participant’s right to bring or take any action against Us and our owners, directors, employees, representatives, volunteers, affiliates, successors, or assigns as a result of any injury, loss, theft, or damage to You and/or Participant, including and without limitation, personal bodily or internal injury, economic loss or any other type of damage, regardless of whether resulting from Our negligence or anyone else using or present at Our Play Street Museum location. 

You agree to defend, indemnify, and hold Us and our owners, directors, employees, representatives, volunteers, affiliates, successors, or assigns harmless against any claims arising out of the negligence or willful acts or omissions of You or Participant.

You agree to specifically assume all risk of loss, theft or damage of personal property for the Participant while he or she is present at Our Play Street Museum location, or participating in any Play Street Museum related activity.

I hereby certify that I have read and understand this entire Agreement and agree to and accept the terms and conditions of this agreement.

Date: November 6, 2024

First Guest's Name

First Name*

Last Name*
First Guest's Age Acknowledgment*
First Guest's Date of Birth*
I certify that I am 18 years of age or older
First Guest's Signature*
Second Guest's Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

Email*

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

First Name*

Last Name*

Emergency Contact's Phone Number*
Please help us identify our next Play Street Museum location by sharing your zip code with us

Zip Code: *
Events and Update Notifications
Would you like to receive a weekly text from Play Street Museum featuring upcoming special events and important updates?*

If yes, what is the 10 digit number you would like us to send this text to? (FYI - you can unsubscribe at any time)
How did you hear about PSM Vancouver?
Please check all that apply *
Google Advertisement
Google Search
Friends or Family
Facebook Post
Instagram Post
Print Advertisement
Marketing Email
Another PSM Location
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 Age Acknowledgment*
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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