Waiver of Liability and Assumption of Risk
A completed waiver by a parent/guardian is required for all minors ("Child") to play or participate in any event or activity at Word Play Clinic, LLC.
In consideration of being allowed to enter and/or participate in any activities at Word Play Clinic, LLC, the undersigned acknowledges, understands and agrees to the following:
1. I am the custodial parent or legal guardian of the child OR I have obtained parental authorization to act on their behalf with respect to the child/children for the purpose of executing this agreement.
2. I acknowledge that all applicable rules for participation must be followed and I assume sole responsibility for the supervision and personal safety of the child/children.
3. I, for myself and for my child/children 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 Word Play Clinic, LLC.
4. I, for myself and for my child/children acknowledge and understand that there are dangers and risks associated with the activities at/by Word Play Clinic, LLC and agree to assume all risk of personal injury.
5. I, for myself and for my child/children agree to follow the safety instructions provided and acknowledge that failure to do so may result in expulsion from Word Play Clinic, LLC.
6. I, for myself and for my child/children understand that my execution of this waiver on the initial visit will authorize Word Play Clinic, LLC to enter this waiver into its database and use it as a continuous, multi-use waiver for my child’s/children’s ongoing participation in the activities. I hereby expressly authorize Word Play Clinic, LLC to use this Waiver as a multi-use waiver until such time as I revoke it in writing.
I HAVE READ THIS FORM THOROUGHLY. I UNDERSTAND THAT, BY SIGNING THIS WAIVER, I VOLUNTARILY SURRENDER CERTAIN LEGAL RIGHTS WHICH I, THE CHILD, AND OUR RESPECTIVE HEIRS, ASSIGNS, EXECUTORS, ADMINISTRATORS, PERSONAL REPRESENTATIVES, AND NEXT OF KIN MAY HAVE AGAINST THE RELEASEES, INCLUDING THE RIGHT TO SUE. I SIGN THIS DOCUMENT VOLUNTARILY AND WITHOUT INDUCEMENT.
1. I am the custodial parent or legal guardian of the child OR I have obtained parental authorization to act on their behalf with respect to the child/children for the purpose of executing this agreement.
2. I acknowledge that all applicable rules for participation must be followed and I assume sole responsibility for the supervision and personal safety of the child/children.
3. I, for myself and for my child/children 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 Word Play Clinic, LLC.
4. I, for myself and for my child/children acknowledge and understand that there are dangers and risks associated with the activities at/by Word Play Clinic, LLC and agree to assume all risk of personal injury.
5. I, for myself and for my child/children agree to follow the safety instructions provided and acknowledge that failure to do so may result in expulsion from Word Play Clinic, LLC.
6. I, for myself and for my child/children understand that my execution of this waiver on the initial visit will authorize Word Play Clinic, LLC to enter this waiver into its database and use it as a continuous, multi-use waiver for my child’s/children’s ongoing participation in the activities. I hereby expressly authorize Word Play Clinic, LLC to use this Waiver as a multi-use waiver until such time as I revoke it in writing.
I HAVE READ THIS FORM THOROUGHLY. I UNDERSTAND THAT, BY SIGNING THIS WAIVER, I VOLUNTARILY SURRENDER CERTAIN LEGAL RIGHTS WHICH I, THE CHILD, AND OUR RESPECTIVE HEIRS, ASSIGNS, EXECUTORS, ADMINISTRATORS, PERSONAL REPRESENTATIVES, AND NEXT OF KIN MAY HAVE AGAINST THE RELEASEES, INCLUDING THE RIGHT TO SUE. I SIGN THIS DOCUMENT VOLUNTARILY AND WITHOUT INDUCEMENT.