Playful Acorns - Waiver and Release of Liability and Photo Release

Please carefully read the following information. Reading and signing this waiver is required before you and/or your child(ren) may participate in Playful Acorns activities.

WAIVER AND RELEASE OF LIABILITY

IN CONSIDERATION OF the risk of injury that exists while participating in Activities organized through Playful Acorns (DBA with Samantha Cora Christian Haas, LLC) and IN CONSIDERATION OF my desire to participate in said Activities and being given the right to participate in same; I HEREBY, for myself, my heirs, executors, administrators, assigns or personal representatives, knowingly and voluntarily enter into this WAIVER AND RELEASE OF LIABILITY and hereby waive any and all rights, claims or causes of action of any kind arising out of my participation in the Activities; and I HEREBY release and forever discharge Playful Acorns (DBA with Samantha Cora Christian Haas, LLC) and its partner sites, their affiliates, managers, members, agents, attorneys, staff, volunteers, heirs, representatives, successors, assigns, and other persons or entities acting on their behalf from any and all claims, damages, or liability arising from death, disability, physical or psychological injury, property damage, or theft, or any kind of action may happen as a direct result of my participation in the aforementioned Activities; and I HEREBY agree to pay for all damages to the facilities, equipment, and host sites of Playful Acorns caused by them or their family’s negligent, reckless, or willful actions; and I HEREBY agree to abide with rules and conditions of participation and/or attendance, posted on the Playful Acorns website, at a partner site, or explained by an employee. If the undersigned experiences any significant hazard or injury during such participation, the undersigned will promptly inform a Playful Acorns employee at the partner site where they are currently attending.

PHOTO RELEASE

IN CONSIDERATION OF my entering the Playful Acorns play space at partner sites and in connection with my and the child’s/children’s involvement with Playful Acorns; I HEREBY consent to the recording of me and/or the child’s/children’s physical likeness and/or voice through mechanical, photographic, technical, digital, electronic or other means (“Recordings”); and I HEREBY consent to and authorize Playful Acorns and its host sites, agents, representatives, employees, successors, assigns, and other persons or entities acting on their behalf to use, in perpetuity, such Recordings, as well as the child’s/children’s name and my name, for any purpose, including advertising, promoting, exploiting and/or publicizing Playful Acorns and its host sites; and I HEREBY agree that the foregoing includes the consent to use the child’s/children’s and/or my physical likeness in any form. I waive any right to inspect or approve the use of the photograph or recording, and I acknowledge and agree that the rights granted through this release are without compensation. In addition, I waive any and all claims I may have in connection with the Recordings.

PARENT / GUARDIAN / CAREGIVER WAIVER OF MINORS

I, THE UNDERSIGNED PARTICIPANT, AFFIRM THAT I AM OF THE AGE OF 18 YEARS OR OLDER, AND THAT I AM FREELY SIGNING THIS AGREEMENT, THAT I FULLY UNDERSTAND ITS CONTENT AND THAT THIS RELEASE CANNOT BE MODIFIED ORALLY. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND THAT I AM SIGNING IT OF MY OWN FREE WILL.

Participating Parent / Legal Guardian / Caregiver

Minor Child/Children Participating in Activities

(If more than two children are participating in the same activity, another parent/legal guardian/caregiver is required to attend and fill out a separate waiver form on their behalf.)

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