Play Waiver Form

Play Waiver

PARENT/GUARDIAN DETAILS:

First name

Last name

Phone

Address

CHILDREN'S DETAILS:

Child's First Name

Child's Last Name

Birthday

I represent that I am the age 18 years or older and the legal parent or guardian of the guest(s) named, OR I am the age 18 years or older and have obtained permission from the legal parent or guardian of the guest(s)

I, on behalf of myself, and the guest(s) named below agree that using the equipment and participating in the activities offered at Pollywogs Play Pad is completely voluntary. I understand the inherent risks associated with any of the activities and equipment I choose to undertake while at Pollywogs Play Pad

I agree to pay for all damages to the facility of Pollywogs Play Pad caused by myself, my party, or my guest(s), whether the actions were willful, through negligence, or recklessness. · I agree to refrain from any unsafe, inappropriate, or aggressive behavior or play at all times

Thanks for submitting!
We’ll contact this person only in case of emergency.

Play Waiver

PARENT/GUARDIAN DETAILS:

CHILDREN'S DETAILS:

Pollywogs Playpad