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Registration Waiver Form

Participants

Gender
Birthday
Month
Day
Year
Birthday
Month
Day
Year
Birthday
Month
Day
Year
Birthday
Month
Day
Year
Birthday
Month
Day
Year

In exchange for permission to enter the play area and/or participate in any party or program at The Playroom Cafe, the undersigned, on their own behalf and on behalf of the participant(s) listed above, acknowledges, understands, and agrees to the following terms and conditions:

Guardian Information

How did you hear about us?

By signing this document, I acknowledge the inherent risks and voluntarily assume full responsibility for any injury, damage, or loss that may result from my participation. I hereby waive and release the business, its owners, and its staff from any and all liability, past, present, and future, relating to the services provided.

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