Loading...

Eisland's Indoor Playground Waiver

In consideration of being permitted by Eisland's Indoor Playground LLC (“Eisland's Indoor Playground”) to participate in its activities and to use its equipment and facilities, I hereby agree to release, discharge indemnify, and hold harmless Eisland's Indoor Playground, its agents, owners, members, shareholders, directors, employees, volunteers, manufacturers, participants, lessors, related and affiliated entities, successors, and assigns (collectively, the “RELEASED PARTIES”), on behalf of myself, my spouse, my children, my parents, my heirs, assigns, personal representative and estate as follows:


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


2. I agree that the Participant(s) named, and I shall comply with all stated and customary terms, posted safety signs, rules, and verbal instructions as conditions for participation in any play event, parties, or activities at Eisland's Indoor Playground.


3. I acknowledge that my participation in Eisland's Indoor Playground entails known and unknown risks that could result in physical or emotional injury or damage to myself, my property, or to third parties. Eisland's Indoor Playground activities involve many risk, including, but not limited to the following: All play equipment and all things inside the facility entails certain risks that simply cannot be eliminated without jeopardizing the essential qualities of the activity. Our play equipment exposes its participants to the usual risk of cuts and bruises. Participants can fall off equipment, sprain or break wrist and ankles, and can suffer more serious injuries as well. Coming down slides can cause injuries as well. Eisland's Indoor Playground seeks safety, but they are not infallible. They might be unaware of a participant’s fitness or abilities. Eisland's Indoor Playground has no control or is in no way liable for any injury resulting from other minors, parents, or guardians at the facility. If myself or my minor participant(s) is injured I agree to pay for any required medical expenses.


4. I expressly understand the risks. Participation in this activity is purely voluntary, no one is forcing me to participate. I elect to participate in spite of the known and unknown risk.


5. I represent that I have adequate insurance to cover any injury or damage I may suffer or cause while participating in this activity, or else I agree to bear the costs of such injury or damage myself. I further represent that I have no medical or physical condition which could interfere with my safety in this activity, or else I am willing to assume - and bear the costs of all risks that may be created, directly or indirectly, by any such condition.


6. I hereby voluntarily fully waive, release, and forever discharge, indemnify and hold harmless RELEASED PARTIES from any and all claims, demands, causes of action, responsibilities or liabilities, for any kind of injuries, including death, or any kind of damages, which in any way arise out of or are in any way connected with my participation in any or all activity at Eisland's Indoor Playground facility or my use of Eisland's Indoor Playground equipment or facilities, or any act or omission of the RELEASED PARTIES including negligence by Eisland's Indoor Playground representatives, managers, employees, volunteers, and all negligence in the design, construction, manufacture condition, maintenance, or repair of the equipment or facilities.


7. By signing this waiver, I am giving up my rights and the rights of my spouse and children and wards to sue Eisland's Indoor Playground for any injury, including paralysis or death, caused in whole or in part by the negligence or fault of Eisland's Indoor Playground. I hereby agree to indemnify, defend, and old harmless the RELEASED PARTIES from any and all liability, claims, suits, demands, causes of action, expenses of litigation, including but not limited to attorneys fees and costs which arise out of or are connected to injury to the participants at Eisland's Indoor Playground or damage to the property of the persons who are participants at Eisland's Indoor Playground, caused by my or my minor participant(s)’s negligence, fault, acts or omissions. I agree that I will at my own cost and expense defend and indemnify the RELEASED PARTIES against any and all such claims.


8. I acknowledge the novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization, is extremely contagious, and believed to be spread by person-to-person contact. Federal and state health agencies recommend preventative measures, such as hand-washing, face-masks, and social distancing, however due to the nature of our facilities, I understand these measures may be less effective due to close individual proximity. I acknowledge and assume the risk that my child(ren) or I may be exposed to or infected by COVID-19 by attending Eisland's Indoor Playground facilities, either before, during, or after any particular use of our facilities, and that such exposure or infection may result in personal injury, illness, disability, or death.


9. I understand that entry, by myself and the participant(s) named constitutes consent for Eisland's Indoor Playground to use any film, video, or likeness of participants for the purpose of marketing and promotional use, without payment to the participant. Such said purposes are but not limited to: Grand Opening, Friends and Family Night, Parties, Private Events, Group Events, and open play. I grant Eisland's Indoor Playground the right, without reservation or limitation, to videotape, and or record me and/or my Participant(s) and/or wards on closed circuit television without compensation to me or my Participant(s).

First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
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*
Middle Name
Last Name*
Phone*
Parent or Guardian's Date of Birth*
Date of Birth
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!