LITTLE EXPLORERS PLAY ROOM LLC, Waiver

In consideration of being allowed to enter the play area at LITTLE EXPLORERS PLAY ROOM LLC, to use any equipment or to participate in any event and/or class, the undersigned, on his or her behalf and on the behalf of the minor(s) listed below, enters into this release and waiver, as follows:

Adult first name

Adult last name

Child 1 name

Child 1 age

Child 2 name

Child 2 age

Child 3 name

Child 3 age

Additional Children Name(s) and Age(s)

Email

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

Signature

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