Kids Pavillion

Participation Waiver (English)


In consideration of being allowed to enter in to the play area and/or participate in any parties or programs at Kids Pavillion, the undersigned, on his or her own behalf and on behalf of the participants and or minors identified below, acknowledges, appreciates and agrees that:

1. Inflatables, mechanical rides, extreme events and stationary units can be hazardous and dangerous. Activities require strenuous exercise and various degrees of skill and expertise. I understand that these activities can result in serious injury to the person or child. I assume any and all risk and damage or injury while on Kids Pavillion premises. I agree that the participant(s) named below 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 Kids Pavillion. In addition, if I observe any hazard during our participation, I will bring it to the attention of the nearest Kids Pavillion employee or official immediately.

2. I am aware of the risk, hazards and danger of personal injury, disability and/ or death as a result of participation at Kids Pavillion.

3. In consideration for the admission of my child and by the execution of this agreement, it is my intention to assume all risk of injury and I hereby release, surrender, waive and forever discharge any rights to sue or exercise any legal right to seek damages against Kids Pavillion and its owners, agents, employees, officers, directors, trustees and all other persons or entities acting on its behalf, from any and all claims, actions, damages, liability, cost or expense including attorney’s fees which are related to or arise out of or in any way connected to my child’s participation or use of the facility and its equipment units.

4. I acknowledge that my or my child’s participation in activities at Kids Pavillion is strictly voluntary. I hereby certify that I am the father/mother/legal guardian of the minor mentioned below, or that I represent the father/mother/legal guardian of the minor mentioned below and have carefully read the foregoing covenant not to sue and acknowledge that I understand and agree to all of the above terms and conditions. Prior to signing this agreement, I have had an 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.

Child Name Age Parent/Legal Guardian Relationship to Minor


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Kids Pavillion
Signature Certificate
Document name: Participation Waiver (English)
Unique Document ID: fb23e5e894f71b0e18df067f72ba3364a055c0e2
Timestamp Audit
2016-07-11 11:49:09 ASTParticipation Waiver (English) Uploaded by Kids Pavillion - IP