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Play Studio Waiver

Apple Tots, LLC

Required: Waiver 

• 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 its

affiliates, agents, owners and employees from any liability for accidents while participating at the play studio.

• 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 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 accept that I am responsible, not the staff at Apple Tots,for ensuring my child safely uses the equipment.

• 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.



First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
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*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Participant's Address
Address Line 1:
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:
City:
State/Province:
Zip/Postal:
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
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) 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*

Relationship*

Phone*
Parent or Guardian's 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.


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