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Participation Agreement

Definitions:

Participant means any person on whose behalf You are signing this form.

Play Street Museum means the Play Street Museum Allen location, Jarl Enterprises, LLC, or any of its owners, directors, employees, representatives, volunteers, affiliates, successors, or assigns.

You or Your means the person whose signature appears on the bottom of this form.

ASSUMPTION OF RISK

You understand that there is a natural risk of injury, whether caused by Participant or someone else, in the use of or presence at Play Street Museum, the use of equipment and services at Play Street Museum, and participation in any Play Street Museum related activities. These activities include but are not limited to, the use of any Play Street Museum toys, equipment, exhibits, or materials, and/or Play Street Museum events, private parties, community, school, or non-profit programs hosted by Play Street Museum. You understand that the risk of injury includes, but is not limited to:

  1. Injuries arising from the use of any Play Street Museum equipment, including any accidental or "slip and fall" injuries; and
  2. Injuries or medical disorders, including, but not limited, to heart attacks, strokes, heart stress, head injuries, sprains, cuts, bruises, broken bones and torn muscles or ligaments, resulting from Your use of or presence at a Play Street Museum, Participant's use of equipment or services at Play Street Museum, or Your participation in any Play Street Museum activities;
  3. Due to the 2019-2020 outbreak of the novel Coronavirus (COVID-19), We are taking extra precautions with enhanced sanitation/disinfection procedures in accordance with the Centers for Disease Control guidance. Symptoms of COVID-19 include: fever, fatigue, dry cough, and difficulty breathing. By signing this Agreement, You understand these symptoms and affirm that:
  4. You, as well as all household members, do not currently have, nor have experienced the symptoms listed above WITHIN THE PAST 14 DAYS.
  5. You, as well as all household members, have not been diagnosed with COVID-19 WITHIN THE PAST 30 DAYS.
  6. You, as well as all household members, have not knowingly been exposed to anyone diagnosed with COVID-19 WITHIN THE PAST 30 DAYS.
  7. We are not liable for any exposure to the COVID-19 virus caused by Your or the Participant’s presence at Our Play Street Museum location.

You understand and voluntarily accept this risk on behalf of Participant.

You specifically acknowledge that, if you are not a parent or legal guardian of the Participant, that you have discussed the terms of this Agreement with the Participants parent or legal guardian and have been given the authority by the Participants parent or legal guardian to sign this Agreement on the Participants behalf.

You agree to specifically assume all risk of loss, theft or damage of personal property for the Participant while he or she is present at Play Street Museum, or participating in any Play Street Museum related activity as defined above.

RELEASE OF LIABILITY

You specifically waive Your right and/or Participant’s right to bring or take any action against Us and our owners, directors, employees, representatives, volunteers, affiliates, successors, or assigns as a result of any injury, loss, theft, or damage to You and/or Participant, including and without limitation, personal bodily or internal injury, exposure or harm due to COVID-19, economic loss or any other type of damage, regardless of whether resulting from Our negligence or anyone else using or present at Our Play Street Museum location. 

You agree to defend, indemnify, and hold Us and our owners, directors, employees, representatives, volunteers, affiliates, successors, or assigns harmless against any claims arising out of the negligence or willful acts or omissions of You or Participant.

You agree to specifically assume all risk of loss, theft or damage of personal property for the Participant while he or she is present at Our Play Street Museum location, or participating in any Play Street Museum related activity.

I hereby certify that I have read and understand this entire Agreement and agree to and accept the terms and conditions of this agreement.

I approve the use of pictures taken at a Play Street Museum, in which the Participant is part of, to be used on the Play Street Museum website, social, or print media, and marketing advertisements.

I hereby certify that I have read and understand this entire Agreement and agree to and accept the terms and conditions of this entire application.

Date: March 29, 2024



First Participant Name

First Name*

Last Name*
First Participant Age Acknowledgment*
First Participant Date of Birth*
I certify that I am 16 years of age or older
First Participant Signature*
Second Participant Name

First Name*

Last Name*
Second Participant Date of Birth*
Third Participant Name

First Name*

Last Name*
Third Participant Date of Birth*
Fourth Participant Name

First Name*

Last Name*
Fourth Participant Date of Birth*
Fifth Participant Name

First Name*

Last Name*
Fifth Participant Date of Birth*
Sixth Participant Name

First Name*

Last Name*
Sixth Participant Date of Birth*
Seventh Participant Name

First Name*

Last Name*
Seventh Participant Date of Birth*
Eighth Participant Name

First Name*

Last Name*
Eighth Participant Date of Birth*
Ninth Participant Name

First Name*

Last Name*
Ninth Participant Date of Birth*
Tenth Participant Name

First Name*

Last Name*
Tenth Participant Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Please help us identify our next Play Street Museum location by sharing your zip code with us!

Zip Code
Events and Update Notifications
Would you like to receive a weekly text from Play Street Museum featuring upcoming special events and important updates?*

If yes, what is the 10 digit number you would like us to send this text to? (FYI - you can unsubscribe at any time)
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 16 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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