In Consideration of being allowed to enter the play area and/or participate in any party and/or program at The Little Playhouse Cafe, the undersigned, on his or her behalf, and on the behalf of the participant(s) identified below, acknowledges, appreciates and agrees to the following conditions: 

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PARTICIPANT WAIVER, RELEASE, ASSUMPTION OF RISK, AND INDEMNIFICATION AGREEMENT 

 

This Waiver, Release, Assumption of Risk, and Indemnification Agreement (“Release”) is voluntarily executed by (“Participant”) on (“Effective Date”). This release is pertaining to the use of the facilities at The Little Playhouse Cafe, LLC.

 

General Release

 

I acknowledge and agree that this Release covers and is intended to release and provide other benefits, legal protections, and consideration to The Little Playhouse Cafe, its agents, owners, officers, managers, shareholders, affiliates, volunteers, participants, employees, assigns, and all other persons or entities acting in any capacity on its respective or collective behalf.   

 

Release of Potential Injuries for Attractions

 

Voluntary Assumption of Risk

 

I acknowledge and agree that I and the Child are participating voluntarily at our own risk. I acknowledge and agree that the actions or activities of other customers or the actions or inactions of  The Little Playhouse Cafe employees could cause me or the Child significant bodily injury (as described within), and that The Little Playhouse Cafe is not responsible for the actions or activities of customers using The Little Playhouse Cafe Attractions or the negligence of its employees in supervising The Little Playhouse Cafe Attractions, including actions, activities, or omissions that result in such harm. I specifically acknowledge and assume the risk that participants may: 

 

1.) Die or become paralyzed, partially or fully, through their use of The Little Playhouse Cafe  facilities and participation in  The Little Playhouse Cafe Attractions;   

 

2.) Suffer cuts, scrapes, bumps, bruises, or sprain, pull break or otherwise seriously externally or internally injure their head, face, neck, torso, spine, arms, wrists, hands, legs, ankles, feet, or other body part as a result of falling of any  The Little Playhouse Cafe Attraction, landing improperly on equipment, or making contact with other participants;     

 

3.) Suffer from the transmission of disease strains and allergic reactions or suffer heat stroke, heart attacks, dehydration and other exertion-related medial events through use of The Little Playhouse Cafe  facilities or The Little Playhouse Cafe  Attractions;   

 

4.) Suffer from serious injuries due to unpredictable body movements and anticipated or unanticipated bodily contact caused by double bouncing, flipping, running, or bounding off walls; or   

 

5.) Suffer from similar physical injury from observing, standing, sitting, or taking photographs at or near any of The Little Playhouse Cafe Attractions, even if the observer is not participating.     

 

Agreement to Pay My Own Medical Expenses   

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I acknowledge, accept, and assume the risk of any and all medical conditions, limitations, or disabilities (whether temporary or permanent) that I or the Child possess, whether known or unknown, which might contribute to or exacerbate any injury or illness that I or the Child might sustain as a result of using The Little Playhouse Cafe Attractions. I acknowledge and agree that if medical assistance (of any form, including emergency care, hospitalization, out-patient care, and/or physical/occupational therapy) is required or performed as a result of any injury I or the Child sustains while using The Little Playhouse Cafe  Attractions, such assistance shall be at my own expense.   

 

Photo/Video/Social Media Wavier   

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In connection with my and the Child’s use of The Little Playhouse Cafe Facilities and Attractions, I consent to the recording of the Child’s and my physical likeness and/or voice through mechanical, photographic, technical, digital, electronic, or other means (“Recordings”). I hereby consent to and authorize The Little Playhouse Cafe  and its agents, representatives, employees, successors, and assigns to use, in perpetuity, such Recordings, as well as the Child’s name and my name, for any purpose, including advertising, promoting, exploiting and/or publicizing the Looma Space Facility. I further agree that the foregoing includes the consent to use the Child’s and/or my physical likeness in any form. In addition, I waive any and all claims that I or the Child may have in connection with the Recordings.  

 

PARENT OR GUARDIAN CONSENT   

 

I have read and understand the terms of this Agreement and unconditionally agree to its full terms, statements, warranties, notices, representations, waivers, and releases on behalf of both myself and marital community, if any, and my child or ward, whose name is:   

 

First Name:  Last Name: DOB: 

 

All such terms, statements, warranties, notices representations, waivers, and releases fully apply to my child or ward as if I was the participant. I understand that, by signing this Parent or Guardian Consent, I am giving up important legal rights both on behalf of myself and the Child, regarding potential rights and claims against The Little Playhouse Cafe. I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.   

 

I hereby warrant and represent that if I am neither the Child’s Parent nor legal Guardian, I have been granted the expressed authority to execute this Agreement by, and on behalf of, the Child’s Parent or Guardian.    

 

PARENT OR GUARDIAN INDEMNIFICATION  

  

AS THE INDIVIDUAL SIGNING THIS AGREEMENT ON BEHALF OF A MINOR OR OTHER INDIVIDUAL, I AGREE TO FULLY INDEMNIFY AND HOLD HARMLESS  THE LITTLE PLAYHOUSE CAFE, ITS AGENTS, OWNERS, OFFICERS, MANAGERS, SHAREHOLDERS, AFFILIATES, VOLUNTEERS, PARTICIPANTS, EMPLOYEES, ASSIGNS, AND ALL OTHER PERSONS OR ENTITIES ACTING IN ANY CAPACITY ON ITS RESPECTIVE OR COLLECTIVE BEHALF, FOR ANY AND ALL CLAIMS CONNECTED WITH, ARISING OUT OF, OR RESULTING FROM THE INDIVIDUAL OR THE CHILDS USE OF THE LITTLE PLAYHOUSE CAFE FACILITIES OR ATTRACTIONS.    

 

BY SIGNING THIS DOCUMENT, I REPRESENT THAT I HAVE CAREFULLY READ THIS AGREEMENT AND UNDERSTAND IT TO BE A RELEASE OF ALL CLAIMS, CAUSES OF ACTION FOR MY OR THE CHILD’S LOSS, DAMAGE, OR INJURY, INCLUDING DEATH, WHETHER OR NOT KNOWN OR ANTICIPATED, THAT OCCUR WHILE ON THE PREMISES OF THE LITTLE PLAYHOUSE CAFE. I FURTHER UNDERSTAND AND AGREE TO INDMNIFY THE LITTLE PLAYHOUSE CAFE, ITS OWNERS, TRUSTEES, OFFICERS, EMPLOYEES, AND AGENTS FOR ANY LIABILITY FOR ANY INJURY, DAMAGE OR LOSSES OF ANY KIND CAUSED BY MY NEGLIGENT OR INTENTIONAL ACTS WHILE ON THE PREMISES OF THE LITTLE PLAYHOUSE CAFE. THE SIGNATURE BELOW IS PROOF OF MY INTENTION TO EXECUTE A COMPLETE AND UNCONDITIONAL WAIVER, RELEASE, AND INDEMNIFICATION OF ALL LIABILITY TO THE FULL EXTENT OF THE LAW.