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Waiver Must be Signed before entering the facility


FUN CITY INDOOR PLAYGROUND, INC (LUMBERTON NC) Waiver of Liability

BY SIGNING THIS AGREEMENT, I AM GIVING UP MY RIGHTS AND THE RIGHTS OF MY SPOUSE AND/OR CHILD(REN) TO SUE Fun City Indoor Playground, INC (LUMBERTON, NC) FOR ANY INJURY OR CONSQUENCES, CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OR FAULT OF Fun City Indoor Playground, INC (FAYETTEVILLE, NC), INCLUDING ANY OF ITS OWNERS, AFFILIATES, AGENTS, EMPLOYEES AND EQUIPMENT SUPPLIERS.




WAIVER OF LIABILITY


 I, for myself, my child or ward sign this Waiver and Assumption of Risk in consideration of the opportunity to use the facility, or to participate in any parties or activities at/by FUN CITY INDOOR PLAYGROUND, INC.


 I, for myself, my child or ward acknowledge and understand that there are dangers and risks associated with the activities at/by FUN CITY INDOOR PLAYGROUND, INC. and agree to assume all risk of personal injury, including the potential for paralysis or death as a result of participation.


  I, for myself, my child or ward agree to follow the safety instructions provided and acknowledge that failure to do so may result in expulsion from FUN CITY INDOOR PLAYGROUND, INC. By execution of this agreement, it is my intention to assume all risks of injury and do hereby surrender and waive any rights to sue or exercise any legal right to seek damages against FUN CITY INDOOR PLAYGROUND, INC. its owners, members, officers, employees, equipment manufacturers and sponsoring agencies, and all other persons or entities acting on its behalf, from any and all claims, actions, liability, damages, cost or expense including attorney fees which are related to or arise out of or in any way connected to my child’s participation or use of the facility.


  I, for myself, my child or ward, and on behalf of my or their heirs, assigns, personal representatives and next of kin, hereby hold harmless FUN CITY INDOOR PLAYGROUND, INC. its owners, members, officers, employees, equipment manufacturers and sponsoring agencies from all liability for any such personal injury, disability, death or loss or damage to person or property to the fullest extent of the law and not to sue.

 



 I acknowledge that my and the participants named below, participation in activities at FUN CITY INDOOR PLAYGROUND, INC. is strictly voluntary. I hereby certify that I am over 18 years of age and voluntarily agree to all terms, conditions and responsibilities set forth in the above terms and conditions. Prior to signing this agreement, I have had ample opportunity to ask any and all questions. I am aware that by signing this agreement, I assume all risks and waive and release all substantial rights that I may have and possess. And I admit media publications; personal pictures/ videos, that might be taken by FUN CITY INDOOR PLAYGROUND, INC employees to be published on social media, marketing materials, etc. I have carefully read the foregoing covenant not to sue and acknowledge that I understand and agree to all of the above terms and conditions.

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Middle 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.
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*

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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