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Play Studio Waiver

Apple Tots, LLC

Required: Waiver 

Apple Tots Liability Waiver

I assume all responsibilities for supervising and monitoring my child/children while visiting Apple Tots at 731 E. Main Street, Jackson, OH. I understand that I should remain within reach of my children. I recognize that some items in the studio could contain small parts and present a hazard to younger children. I understand that some soft play may require adult assistance for younger children.

I understand that participating in activities at Apple Tots carries the risk of injury, illness, and property loss, which could arise from (a) the actions or negligence of others, including Apple Tots staff and participants, or (b) the use of equipment that may be dangerous or defective. Despite these potential risks, whether known or unknown, I voluntarily assume full responsibility for any injury or harm to myself or the Participant(s) that may occur during participation in activities at Apple Tots.• I accept that I am responsible, not the staff at Apple Tots,for ensuring my child safely uses the equipment. • To the best of my knowledge my child(ren) can safely participate. I will consult with Apple Tots LLC staff for any specific equipment concerns.

I confirm that the Participant(s) and I are physically capable of participating in activities at Apple Tots and have not been advised otherwise by a medical professional. I understand that I am responsible for supervising and monitoring the Participant(s) at all times while visiting Apple Tots.

On behalf of myself and the Participant(s), I agree to release, discharge, and not to take legal action against Apple Tots, its managers, staff, and representatives for any injury, illness, or death that may result from participation in activities at Apple Tots, including those caused by negligence or breach of duty. This release covers any and all claims or legal rights, whether existing now or arising in the future, including those related to COVID-19 exposure, other illness, or infection occurring before, during, or after participation.

I agree to indemnify and hold harmless Apple Tots, its managers, staff, and representatives from any claims, actions, costs, damages, or liabilities, including legal fees, brought by a third party as a result of my or the Participant’s participation in activities at Apple Tots.  I realize that I am responsible for all medical expenses for my child(ren) that may be needed due to their participation at the facility - Apple Tots.
I understand that participation involves motion in a soft play environment and as such carries with it the risk of injury. I am voluntarily allowing my child to participate in this activity with knowledge of the risks involved and hereby agree to accept any and all inherent risks of property damage, personal injury or death. I hereby release Apple Tots, LLC itsaffiliates, agents, owners and employees from any liability for accidents while participating at the play studio.

I realize that there is to be no face paint, food, drinks, or gum/candy will be consumed in the play area. Furthermore, Apple Tots LLC. is not responsible for any personal items that are lost or stolen.

I understand that by signing this waiver on the initial visit, it will remain in effect for all future visits until I revoke it in writing or until it expires from Apple Tots Play Studio. 

I certify that I am the parent or legal guardian of the Participant(s) named above and have the authority to sign this waiver on their behalf. I have carefully read and fully understand the terms of this document. By signing, I voluntarily agree to these terms and assume all associated risks.



First Parent/Caregiver's Name
First Name*
Last Name*
Phone*
First Parent/Caregiver's Age Acknowledgment*
First Parent/Caregiver's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Parent/Caregiver's Signature*
Second Parent/Caregiver's Name
First Name*
Last Name*
Parent/Caregiver's Date of Birth*
Date of Birth
Third Parent/Caregiver's Name
First Name*
Last Name*
Parent/Caregiver's Date of Birth*
Date of Birth
Fourth Parent/Caregiver's Name
First Name*
Last Name*
Parent/Caregiver's Date of Birth*
Date of Birth
Fifth Parent/Caregiver's Name
First Name*
Last Name*
Parent/Caregiver's Date of Birth*
Date of Birth
Sixth Parent/Caregiver's Name
First Name*
Last Name*
Parent/Caregiver's Date of Birth*
Date of Birth
Seventh Parent/Caregiver's Name
First Name*
Last Name*
Parent/Caregiver's Date of Birth*
Date of Birth
Eighth Parent/Caregiver's Name
First Name*
Last Name*
Parent/Caregiver's Date of Birth*
Date of Birth
Ninth Parent/Caregiver's Name
First Name*
Last Name*
Parent/Caregiver's Date of Birth*
Date of Birth
Tenth Parent/Caregiver's Name
First Name*
Last Name*
Parent/Caregiver's Date of Birth*
Date of Birth
Parent, Guardian, or Caregiver's Email Address
Email*
Confirm Email*
Check to receive information, news, and discounts by e-mail.
Photo Waiver
• I accept that Apple Tots, LLC may use any group photos or otherwise individual photos that my child(ren) is/are in for the purpose of sharing on social media and marketing on social media platforms. *

Parent(s), Legal Guardian(s), or Caregiver(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, Guardian, or Caregiver's Name
First Name*
Last Name*
Relationship*
Phone*
Parent, Guardian, or Caregiver's Age Acknowledgment*
Parent, Guardian, or Caregiver's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
Parent, Guardian, or Caregiver'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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