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RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT

This Release of Liability and Assumption of Risk Agreement ("Agreement") is entered into by the undersigned ("Participant" or "Parent/Guardian") on behalf of themselves and the minor children or individuals under their care ("Child" or "Children") participating in the activities at Ely's Play House, LLC. ("Facility"). By signing this Agreement, the Participant acknowledges and agrees to the following:

1. Assumption of Risk

The Participant understands that activities at the Facility, including but not limited to physical play, jumping, climbing, and other recreational activities, involve inherent risks, including the risk of injury, accidents, and even death. The Participant voluntarily assumes all risks associated with these activities and agrees to take all necessary precautions to ensure their own and their children’s safety.

2. Release of Liability

To the fullest extent permitted by law, the Participant hereby waives, releases, and discharges Ely's Play House, LLC., its owners, employees, agents, and affiliates ("Released Parties") from any and all claims, demands, actions, causes of action, or liabilities arising from or related to any injury, damage, loss, or harm to the Participant or their Children while using the Facility or participating in any activities associated with the Facility, whether caused by the negligence of the Released Parties or otherwise.

3. Indemnification

The Participant agrees to indemnify, defend, and hold harmless the Released Parties from any claims, damages, or expenses (including attorney’s fees) arising from the Participant’s or their Children’s use of the Facility or participation in any activities, including any third-party claims for injury, damage, or loss.

4. Medical Consent

In the event of an emergency, the Participant grants permission to the Facility and its staff to seek medical attention or treatment for themselves or their Children if necessary. The Participant also agrees to assume all costs associated with such medical care and treatment.

5. Parent/Guardian Responsibilities

If the Participant is signing on behalf of a minor child, the Participant acknowledges that they are responsible for the behavior, safety, and supervision of the child while at the Facility. The Participant agrees that the child will abide by all safety rules and guidelines established by the Facility.

6. Age Restrictions

Children 8 years of age and under are the only individuals allowed to participate in the activities at the Facility. Children above this age may not be permitted entry, as they do not fit within the designated age group for safe participation.

7. Health Disclaimer – Illness and COVID-19

The Participant understands and acknowledges the potential risks of illness, including but not limited to COVID-19, when engaging in public activities. By entering the Facility, the Participant affirms that neither they nor their Children have any symptoms of illness, including fever, cough, difficulty breathing, or other symptoms related to infectious diseases such as COVID-19. The Participant also agrees to follow all public health guidelines, including wearing masks (if required), maintaining physical distancing, and hand hygiene practices.

In the event that the Participant or their Children have been in close contact with someone who has tested positive for COVID-19 or are feeling unwell, they agree not to enter the Facility. The Facility reserves the right to deny access to anyone exhibiting signs of illness to protect the health and safety of all guests and staff.

8. Rules and Guidelines

The Participant agrees to follow all posted rules, guidelines, and instructions provided by the Facility staff to ensure a safe and enjoyable experience for all guests. The Facility reserves the right to remove anyone from the premises who does not comply with these rules.

9. Photographic Release

The Participant grants permission for Ely's Play House, LLC. to take photographs and/or videos of their children during their visit and to use such images for promotional and marketing purposes without compensation or further permission.

10. Acknowledgement of Understanding

The Participant has read and fully understands this Agreement, acknowledges that they are signing it voluntarily, and agrees to be bound by its terms. If the Participant is signing on behalf of a minor, they acknowledge they are the legal parent or guardian of the child and are signing with the child’s best interests in mind.

First Parent/Guardian Name
First Name*
Last Name*
Phone*
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First Parent/Guardian Date of Birth*
Date of Birth
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
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Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
ADDITIONAL QUESTIONS
GRIP SOCKS are required for playing, do your kids have grip socks on?*
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
Emergency Contact's Relation to Participant
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*
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:
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.


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