Z-Bini Kidz Safety
AUTHORIZATION, RELEASE AND WAIVER OF LIABILITY AGREEMENT
As Consideration for being allowed to enter the play area and/or Participate in any party and/or program at Z-Bini Kidz. the undersigned, on his or her behalf, and on the behalf of the Participant(s) identified below, acknowledges, appreciates, understands, and agrees to the following:
1. I represent that I am the parent or legal guardian of the Participant(s) named below or I have obtained permission from the parent/legal guardian of the Participant(s) named below to execute this agreement on their behalf.
2. I acknowledge and understand that there are risks associated with participation at Z-bini Kidz activities and use of the equipment including but not limited to: contusions, fractures, scrapes, cuts, bumps, paralysis, or death.
3. I, for myself and the Participant(s) named, willingly assume the risks associated with participation and accept that there are also risks that may arise due to OTHER PARTICIPANTS which I also willingly assume.
4. 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 party and/or program at Z-Bini Kidz.
5. I, for myself, the Participant(s) named, our heirs, assigns, representatives, and next of kin agree to hold harmless and indemnify the independent owner of Z-Bini Kidz facility, their predecessors, parent, subsidiaries and affiliates, officers, and employees from any and all injuries, liabilities or damages from participation.
6. I additionally agree to indemnify the independent owner of Z-Bini Kidz, their predecessors, parent, subsidiaries and affiliates, officers, and employees for any defense cost or expense arising from any and all claims, injuries, liabilities or damages arising from participation.
7. I am of physical ability to participate and am legally competent to understand and complete this agreement. I hereby execute this agreement without coercion.
By signing this form, I acknowledge and accept the terms and conditions of this waiver for myself and those named on the waiver. Additionally, I am requesting Z-bini Kidz keep this waiver on file and active for a period of twelve (12) months from the date signed. I acknowledge and accept the terms and conditions of this waiver for any and all future visits to Z-Bini Kidz during this twelve (12) month period.
Waiver and Socks required for participation.
Please complete the waiver. We will NOT allow participation without a signed waiver on record.
Don't forget to wear socks if you come to play in our Z-Bini Kidz Play Zone!
Parent or Guardian Name
Minor Name and Date of Birth
Additional Minor Names and Dates of Birth (Please write N/A if only bringing one child)
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