Intro

All ages under 18 MUST HAVE a liability waiver signed by their parent or legal guardian. EVERYONE MUST HAVE a waiver initialed and COMPLETELY filled out.

Agree and Acknowledge

I understand and acknowledge that if I proceed to register online and to sign the waiver electronically, that, under the Electronic Transactions Act, such electronic registration and electronically signed Waiver document will be valid and enforced in the same manner as a hand-signed document that exists in physical form and that a record or signature may not be denied legal effect or enforceability under law solely because it is in electronic form.

Basic Information

Use parent or guardian information if under 18

Contact Information

Use parent or guardian information if under 18

Minor Information

Enter the information for the children for which you are responsible for:



Maddie’s Playhouse Liability Waiver and Hold Harmless Agreement

RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT

BY SIGNING THIS DOCUMENT, YOU WILL WAIVE OR GIVE UP CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE OR CLAIM COMPENSATION FOLLOWING AN ACCIDENT ON YOUR BEHALF AND ON BEHALF OF YOUR CHILD/CHILDREN

PLEASE READ CAREFULLY!

TO: Maddie’s Playhouse. and its directors, officers, employees, agents, representatives, successors, as well as the property owner and tenants of the property and the owners, manufacturers and installers of the equipment comprising Maddie’s Playhouse and assigns (collectively, the “Releasees”).
In good and valuable consideration for allowing my minor child (the “Minor”) to participate in all related events and activities that occur at Maddie’s Playhouse located at 19559 Parthenia Street, Northridge, CA 91324 (the “Event”), I hereby represent, warrant and agree that:
1. I am the custodial parent or legal guardian of the Minor or have obtained parental authorization to act on their behalf with respect to the Minor for this purpose (the “Guardian”).
2. I am familiar with and accept that there is the risk of serious injury and death in participation with the Event.
3. I read and fully understand the terms herein. I freely and voluntarily assume and accept all of said terms and all of the risks associated with the Minor’s participation in the Event.
4. I satisfied myself and believe that the Minor is physically, emotionally and mentally able to participate in the Event, and that the Minor’s clothing is fit and appropriate for the Minor’s role in the Event.
5. I fully understand that all applicable rules for participation must be followed and that at all times during the Event, the sole responsibility of the Minor’s personal safety remains with me; and
6. I will immediately remove the Minor from participation in the Event and advise the employees at the Event, if at any time, I sense or observe an unusual hazard or unsafe condition or if I feel that the Minor has experienced any deterioration in the Minor’s physical, emotional or mental fitness, or that of the Minor’s clothing for continued safe participation in the Event.
7. I grant Maddie’s Playhouse my permission to photograph, videotape, and/or audiotape my child during activities at Maddie’s Playhouse. These photographs/videos/audios will remain the property of Maddie’s Playhouse and may be used in advertising or marketing campaigns on Maddie’s Playhouse’s websites, and for promotional and informational material including, but not limited to, flyers, brochures, newsletters, emails, advertisements, newspaper articles, TV or cable interviews/promotions. I understand my child will not be identified by name unless I give my express permission. I hereby waive and release on behalf of my child, any rights to compensation for, or ownership of, such images and/or sounds.

I UNDERSTAND AND AGREE, ON BEHALF OF MYSELF, THE MINOR, AND OUR RESPECTIVE HEIRS, ASSIGNS, PERSONAL REPRESENTATIVES AND NEXT OF KIN THAT MY EXECUTION OF THIS DOCUMENT CONSTITUTES:
1. AN UNQUALIFIED ASSUMPTION BY ME OF ALL RISKS associated with the Minor’s participation in the Event even if arising from the negligence, gross negligence, including but not limited to any compounding or aggravation of injuries caused by negligent rescue operations or procedures, of the Releasees and any persons associated therewith or otherwise participating in the Event in any capacity;
2. A FULL AND FINAL RELEASE AND WAIVER OF LIABILITY AND ALL CLAIMS that I or the Minor have, or may in the future have, against the Releasees and any persons associated therewith or otherwise participating in the Event in any capacity from any and all liability for any loss, damage, injury or expense that I or the Minor may suffer as a result of the Minor’s use of, or presence at, the Event facilities or the Minor’s participation in any part of, or the Minor’s presence in any capacity at, the Event, due to any cause whatsoever, INCLUDING NEGLIGENCE, GROSS NEGLIGENCE, BREACH OF CONTRACT OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE, INCLUDING ANY DUTY OF CARE OWED UNDER THE RELEVANT OCCUPIERS’ LIABILITY ACT ON THE PART OF THE RELEASEES;
3. AN AGREEMENT NOT TO SUE THE RELEASEES for any loss, injury, costs or damages of any form or type, howsoever caused or arising, and whether directly or indirectly from my or the Minor’s participation in any aspect(s) of the Event;
4. AN AGREEMENT TO INDEMNIFY AND TO SAVE AND HOLD HARMLESS THE RELEASEES, and each of them from any litigation expense, legal fees, liability, damage, award or cost, of any form or type whatsoever, they may incur due to any claim made against them or any one of them by or on behalf of the Minor, by me or by that of our estates, whether the claim is based on the negligence or the gross negligence of the Releasees or otherwise as stated above;
5. AN AGREEMENT that is irrevocable and perpetual, and is not subject to termination, revocation or rescission by me, the Minor or any other person for any reason. This Agreement is the entire agreement between the parties, and may be modified only by a written instrument signed by both parties or their successors or assigns. This Agreement is binding on me, the Minor and our heirs, next of kin, executors, administrators, successors, assigns and personal representatives. If any provision of this Agreement is determined to be invalid or unenforceable in whole or in part, such invalidity or unenforceability shall attach only to such provision and everything else in this Agreement shall continue in full force and effect. This Agreement and all related matters will be governed by and construed in accordance with the laws of Los Angeles, California, USA and the Court of Los Angeles, CA USA will have original and exclusive jurisdiction over any dispute arising from, connected with or relating to this Agreement or any related matter.

Signature

By entering my name below and clicking the “Submit Waiver” button below, I indicate my acceptance and delivery of this waiver and release. I acknowledge that I have been given an opportunity to prevent or correct any error in connection with this waiver form. If I have submitted this waiver form in error, I will immediately notify you of the error, revoke my signature as instructed, and refrain from participating in any event or activity to which the waiver applies, as provided in Section 204(b) of the Uniform Electronic Transactions Act.