In
Consideration of being allowed to enter the play area and/or
participate in any party and/or program at Kid Sports of Spokane, WA,
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:
I
represent that I am the parent or legal guardian of the participant(s)
named below, or I have obtained permission from the parent/legal
guardian of the participant(s) named below to execute this agreement on
their behalf. 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 Kid Sports. In addition, if I observe any hazard
during our participation, I will bring it to the attention of the
nearest Kid Sports employee or official immediately;
I
am aware that there are inherent risks associated with participation in
Kid Sports programs, parties, and/or use of the play area and
inflatable equipment and I, on behalf of myself and the participant(s)
named below, knowingly and freely assume all such risk, both known and
unknown, including those that may arise out of the negligence of other
participants; and,
I,
for myself and the participant(s) named below, and our respective
heirs, assigns, administrators, personal representatives, and next of
kin, hereby release and hold harmless, SoccerTots Spokane LLC, DBA Kid
Sports and their affiliates, officers, members, agents, employees,
other participants, and sponsoring agencies from and against any and
all claims, injuries, liabilities or damages arising out of or related
to our participation in any and all Kid Sports programs, activities,
parties, the use of the play area and/or inflatable equipment.
Participant Name____________________________________________________
Participant Date Of Birth______________________________________________
Participant Name____________________________________________________
Participant Date Of Birth______________________________________________
Parent/Guardian Signature
_________________________________________________________________
Date_____________________
Parent/Guardian Printed Name
________________________________________________________________
Address, City, State, ZIP
________________________________________________________________
Emergency Contact Phone # ________________________________________
Email (Optional)___________________________________________________