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Waiver for Kids Play Room

This Agreement is made on the date at the end of this agreement, BETWEEN:

 

NOSTALGIA GAMES CAFE Inc. (“Nostalgia”), which includes its officers, directors, employees, and contractors, providing use of the facility (the “Facility”) located at 2178 Mountain Grove Ave, Burlington, Ontario, L7P 5A8,

 

AND

 

The Parent/Guardian (the “Guardian/Parent”) listed below, being a legally competent adult over 18 years of age, resident of Ontario or Canada, with authority and capacity to enter this Agreement.

 

The Participant (“Participant”), listed below, is a minor under 18 years of age and resident of Ontario.


Terms and Rules of the Facility

1. The Guardian/Parent affirms that:

  a) they are the parent of the Participant with full parental rights, OR

  b) they are the legal guardian of the Participant, OR

  c) they are duly authorized to act for and supervise the Participant.

 

2. Each Participant must be supervised by a responsible Guardian/Parent at all times.

 

3. A responsible Guardian/Parent is an adult (18+) who agrees to use reasonable care and judgment to supervise and protect the Participant.

 

4. One Guardian/Parent may supervise a maximum of three (3) children.

 

5. Admission is for a one-time visit, non-transferable and non-refundable. A signed Agreement is required for each visit or annually renewed.

 

6. Safe play and conduct are always required. No running, climbing, fighting, rough play, wrestling, or other unsafe behaviour.

 

7. Participants must remove shoes, wear socks, and maintain clean hygiene.

 

8. No one may attend while ill or with any communicable condition.

 

9. Profanity, yelling, or disturbing conduct is prohibited.

 

10. The Guardian/Parent agrees to monitor the Participant to ensure toys, games, and play areas are age-appropriate and safe.

 

11. Any unsafe condition (e.g., spills, defects, accidents) must be reported immediately to Nostalgia staff.

 

Assumption of Risk

12. The Guardian/Parent acknowledges that indoor play carries inherent risks, including choking, slips, trips, falls, collisions with other participants, and injury from toys, games, or equipment.

 

13. The Guardian/Parent voluntarily assumes these ordinary risks on behalf of themselves and the Participant.

 

Limitation of Liability

14. Nostalgia shall not be liable for any injury, loss, or damage arising from participation in play activities except where caused by Nostalgia’s gross negligence, wilful misconduct, or breach of statutory duty under the *Occupiers’ Liability Act, RSO 1990, c. O.2.*

 

Parental Supervision

15. Children must be supervised by the Guardian/Parent at all times. Nostalgia does not provide childcare or supervision.

 

Claims by Children

16. Nothing in this Agreement limits or excludes the rights of a child Participant to pursue a claim in law. This Agreement operates only to limit or release the Guardian/Parent’s own rights and claims.

 

Indemnity

17. The Guardian/Parent agrees to indemnify Nostalgia only for claims arising from the Guardian/Parent’s own negligence, failure to supervise, or breach of this Agreement.

Release

 

18. The Guardian/Parent releases Nostalgia from any claims arising from use of the Facility except where caused by Nostalgia’s gross negligence, wilful misconduct, or breach of statutory duty.

 

Rules and Enforcement

19. The Guardian/Parent agrees to ensure all rules are followed by the Participant(s), guests, and family members.

 

20. Nostalgia may terminate use of the Facility immediately for failure to follow rules.

 

Legal Terms

21. This Agreement constitutes the entire agreement between the parties. Amendments must be in writing and signed.

 

22. This Agreement is governed and interpreted with the laws of Ontario and subject to the exclusive jurisdiction of the Ontario courts in Burlington, Ontario.

 

23. This Agreement shall be interpreted in accordance with Ontario law, including the Occupiers’ Liability Act.

 

Waiver of Claims

24. The Guardian/Parent waives their own claims against Nostalgia for ordinary negligence, to the fullest extent permitted by law, but nothing in this Agreement releases Nostalgia from liability for gross negligence, wilful misconduct, or breach of statutory duty.

 

25. This Agreement is valid for up to 12 months from the date of signing, unless revoked earlier in writing.

 

Confirmation

I confirm that I have read and understood this Agreement. I understand that by signing, I am waiving or limiting certain rights of my own but not those of my child(ren). I also confirm, represent and warrant that all information provided is true, accurate, and complete.


November 11, 2025

First Parent/Guardian Name
First Name*
Last Name*
First Parent/Guardian Age Acknowledgment*
First Parent/Guardian Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Parent/Guardian Signature*
Second Parent/Guardian Name
First Name*
Last Name*
Parent/Guardian Date of Birth*
Date of Birth
Third Parent/Guardian Name
First Name*
Last Name*
Parent/Guardian Date of Birth*
Date of Birth
Fourth Parent/Guardian Name
First Name*
Last Name*
Parent/Guardian Date of Birth*
Date of Birth
Fifth Parent/Guardian Name
First Name*
Last Name*
Parent/Guardian Date of Birth*
Date of Birth
Sixth Parent/Guardian Name
First Name*
Last Name*
Parent/Guardian Date of Birth*
Date of Birth
Seventh Parent/Guardian Name
First Name*
Last Name*
Parent/Guardian Date of Birth*
Date of Birth
Eighth Parent/Guardian Name
First Name*
Last Name*
Parent/Guardian Date of Birth*
Date of Birth
Ninth Parent/Guardian Name
First Name*
Last Name*
Parent/Guardian Date of Birth*
Date of Birth
Tenth Parent/Guardian Name
First Name*
Last Name*
Parent/Guardian Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email
CASL Marketing: I consent to Nostalgia Games Cafe keeping my personal details and email, to stay in touch and get updates regarding fun events, promotions, and other news.
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
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*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
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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