Silly Spoons LLC Child Registration/Release Waiver
Spooky Treats 10/26/19
Completion of this form will register your child for the above event. Please submit appropriate payment within 24 hours to secure your spot.
Email address *
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Full name of attending child *
Your answer
Age of attending child *
Your answer
Emergency Contact Name & Number *
Your answer
ALLERGY AND OTHER INFORMATION: Please describe any food allergies or diet restrictions your child has. If your child has no allergies, write "None" below. *
Your answer
CANCELLATION POLICY: Here at Silly Spoons, we are unique in that the food for our classes is ordered well in advance of each class. We also purchase food based upon the number of children participating in each class. Due to these operational costs and the fact that our food is perishable, all purchases are FINAL and NON-REFUNDABLE. However, we understand that kids do get sick or that plans may change for unforeseen reasons. If this happens and you expect to miss a class we simply require that you provide us with written notice 48 hours prior to event date and class credit will be issued. Credit may be used towards another class within 1 year. No-shows or cancellations made with less than 48-hours notice of the class will NOT be credited as food will have already been purchased and we will have already staffed for the event. *
I, the undersigned Parent/Guardian of the aforementioned Participant, allowing the Participant’s participation in Silly Spoons class or event agree to the following: WAIVER OF LIABILITY: I understand that although the facilities, equipment and services of Silly Spoons and the Program are designed to provide a safe level of enjoyment, there is an inherent risk that use of such facilities, equipment, services and participation in the Program may result in injury. Therefore, I agree to specifically assume all risk of injury for Participant while Participant is using any of Silly Spoons facilities, equipment, services or participating in the Program and hereby waive any and all claims or actions that may arise against Silly Spoons or its owner and/or representatives as a result of such injury. Assumption of Risk. Participation in the Program naturally may involve the risk of injury, whether Participant or someone else causes it. As such, the undersigned agrees that he or she understands and voluntarily accepts this risk on behalf of Participant and agrees that Silly Spoons will not be liable for any injury, including and without limitation, personal, bodily or mental injury, economic loss or any damage to Participant resulting from the negligence or other acts of Silly Spoons or anyone else using the facilities or participating in the Program. ALLERGY STATEMENT RELEASE: Notwithstanding the Allergy Statement, the undersigned acknowledges and agrees that he/she is aware of the risks associated with allergies and that participation in the Program will expose the Participant to food, activities and persons that may result in exposure to allergens and injury and, in that regard and assuming such risks, the undersigned hereby fully releases and discharges Silly Spoons from any and all liability and/or responsibility to the Participant, the undersigned, or any third party for death and/or injuries to the Participant, and/or any direct, indirect, punitive, incidental, or any damages that arise out of or relate to Participant’s participation in the Program and/or exposure to food allergens. PHOTO RELEASE: I hereby grant to Silly Spoons and its representatives the right to take photographs of the Participant in connection with the Program in which he/she is participating. I authorize Silly Spoons, to copyright, use and publish the same in print and/or electronically. I agree that Silly Spoons may use such photographs with or without my name and for any lawful purpose, including but not limited to publicity, illustration, advertising and Web content. I further agree to release Silly Spoons from any expectation of confidentiality for the Participant and attest that, as the parent or legal guardian of the Participant, I have the authority to authorize Silly Spoons to use his/her photographs and/or name. I acknowledge that participation in publications and website produced by Silly Spoons confers no rights of ownership whatsoever. I have reviewed the information contained in this Registration Form and Participation Waiver and the information provided is accurate to the best of my knowledge. I have further reviewed this Registration Form and Participation Waiver thoroughly and understand all of the terms herein. As the undersigned parent or legal guardian of the Participant, I hereby execute the foregoing Waiver for and on behalf of Participant and agree to bind myself, Participant and any heirs, next of kin, assigns or personal representatives to the terms of this Waiver. *
A copy of your responses will be emailed to the address you provided.
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