Loading...

LIABILITY WAIVER AND RELEASE AGREEMENT
Dreamland Art & Play
3457,3471 Blackhawk Plaza Cir
Blackhawk, Ca 94506
(415)-686-4748
dreamlandartandplay@gmail.com

Waiver of Liability and Assumption of Risk

I, the undersigned, as the parent or legal guardian of the minor named above, hereby acknowledge and understand that participation in activities at Dreamland Art & Play, including but not limited to art activities, play equipment, and other recreational activities, involves certain risks. These risks include the possibility of injury, accidents, or illness.

In consideration of Dreamland Art & Play allowing my child to participate in these activities, I hereby agree as follows:

  1. Assumption of Risk: I understand and voluntarily assume all risks related to my child’s participation in activities at Dreamland Art & Play. This includes, but is not limited to, risks of physical injury, emotional distress, or property damage.
  2. Release of Liability: I hereby release and discharge Dreamland Art & Play, its owners, employees, and agents from any and all liability, claims, demands, or causes of action that may arise from my child’s participation in any activities at Dreamland Art & Play, whether caused by negligence or otherwise.
  3. Indemnification: I agree to indemnify and hold harmless Dreamland Art & Play, its owners, employees, and agents from any claims, damages, costs, or expenses, including attorney’s fees, that may arise out of my child’s participation in any activities at Dreamland Art & Play.
  4. Supervision: I understand that I am responsible for supervising my child during their visit to Dreamland Art & Play, and I will ensure they follow all safety guidelines and instructions provided by the staff.
  5. Medical Treatment: In the event of an emergency, I give permission for Dreamland Art & Play staff to provide first aid or seek medical treatment for my child if necessary. I understand that I am responsible for any costs related to such treatment.
  6. Photo Release: By signing this waiver, I grant Dreamland Art & Play permission to take photos or videos of my child during their visit for promotional purposes, unless otherwise stated in writing.

Acknowledgment of Understanding

I have read this waiver and release agreement, fully understand its terms, and agree to the conditions stated. I understand that by signing this document, I am giving up legal rights that might otherwise be available to me and my child.


Today's Date: December 22, 2024

First Participant's Name

First Name*

Last Name*
First Participant's Age Acknowledgment*
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*

Date of Visit/Event: *
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.


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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!