Release and Waiver


Acknowledging participation in the activities at Whimsy Play Cafe, Inc, the undersigned, on his or her own behalf, and on behalf of any executors, heirs, successors and assigns, hereby acknowledges and agrees as follows: 1. I am fully aware of the risks and hazards connected with the activities which may take place in this building. Such risks and hazards include but are not limited to: Falls on or from the equipment Tripping Collisions with the equipment or with other participants I am aware that such activities include the risk of injury and even death, and I hereby elect to voluntarily participate in said activities, knowing that the activities may be hazardous to my property and me. I understand that Whimsy Play Cafe, Inc, does not require me to participate in this activity. I voluntarily assume full responsibility for any risks of loss, property damage, or personal injury, including death, that may be sustained by me, or any loss or damage to property owned by me, as a result of being engaged in such an activities, whether caused by the negligence of releasees or otherwise, to the fullest extent allowed by law 2. Parental Supervision Required – I understand that adult supervision of each child by that child’s parent or authorized caregiver is required at all times. Whimsy Play Cafe, Inc shall not be liable for any injury resulting from an absence of adult supervision, including, but not limited to, any child leaving the property of Whimsy Play Cafe, Inc without a parent or caregiver. 3. Release, Discharge and Agreement Not To Sue – I, for myself and any minor Participant child and our respective heirs, personal representatives and assigns, do hereby release, discharge and agree not to sue Whimsy Play Cafe or its managers, members, employees and/or other agents, for any injury to or death of any Participant arising, directly or indirectly, from participation in the Activities. This release, discharge and covenant not to sue shall relate to any and all claims or legal rights now existing or arising in the future, including claims and legal rights arising out of any negligence of Whimsy Play Cafe and/or its managers, members, employees and/or other agents and any other breach of a legal duty arising out of common law, statute, contract or otherwise. 4. Indemnification And Hold Harmless – I agree to indemnify Whimsy Play Cafe and hold Whimsy Play Cafe harmless from, without limitation, any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney’s fees and costs, incurred due to claims brought by any party as a result of or arising out of my or my minor Participant child’s involvement in the Activities and agree to reimburse Whimsy Play Cafe for any such costs, expenses and fees as they are incurred. Parent Or Legal Guardian Certification And Consent I hereby certify that I am the parent or legal guardian of the Participant whose name appears below, and I have authority to waive rights on behalf of the minor Participant. I have read and I understand all of the provisions of this document and the risks of the Activities. I understand that the Activities could cause injury and even death. I acknowledge that I have read and understand the terms of this document and I am freely and voluntarily signing this document. USE OF PHOTOGRAPHY AND/OR VIDEOS Whimsy Play Cafe, Inc May use any photography/video taken at Whimsy Play Cafe, without the expressed written permission of those included within the photograph/video. Whimsy Play Cafe, Inc may use the photograph/video in publications or other media material produced, used or contracted by Whimsy Play Cafe, Inc including but not limited to: invitations, magazines, newspapers, brochures, television, social media, websites, etc. A person attending a Whimsy Play Cafe, Inc event who does not wish to have their image recorded should make their wishes known to Whimsy Play Cafe, Inc, at 282 McHenry Road, Buffalo Grove, IL 60089. By participating in Whimsy Play Cafe, Inc or by failing to notify Whimsy Play Cafe, Inc, in writing, your desire to not have your photograph used by Whimsy Play Cafe, Inc, you are agreeing to release, defend, hold harmless and indemnify Whimsy Play Cafe, Inc from any and all claims involving the use of your picture. I HAVE READ THE ABOVE WAIVER AND BY SIGNING IT I AGREE IT IS MY INTENTION TO EXEMPT AND RELIEVE WHIMSY PLAY CAFE, INC FROM ALL LIABILITY ARISING FROM UTILIZING THE FACILITIES.

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Signature Certificate
Document name: Release and Waiver
lock iconUnique Document ID: 5473f320b77b66af723da482f9934c273b27d93f
Timestamp Audit
January 17, 2019 6:12 pm CSTRelease and Waiver Uploaded by Alex Forkosh - alex@mbftinc.com IP 67.162.53.28, 35.244.175.145