Kids Party Time !

Health and Injury Waiver
Kids Party Time

I understand and acknowledge as the parent/guardian/or responsible person, that I/we must stay at all times with child 1.___________________age______, child 2____________________, age_____, child 3____________________ age______, and others listed below. Also that the child/children are in good health and is/are deemed healthy, and able to participate in the type of activities provided at Kids Party Time. That I/We _______________________,
____________________________ will supervise and be solely responsible for the child/children’s well being and safety during the contracted play time. Kids Party Time or its staff will not be held responsible for any injury, or health issue incurred while at, or subsequent to playing at the Kids Party Time facility.
Parent/Guardian/Responsible Person
____________________________________Date___________

Other attendees:
4.                                                     8.
5.                                                     9.
6.                                                   10.
7.                                                   11.

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