LilyPad Ltd. Waiver

1. I am solely responsible for the supervision and monitoring of my child while at LilyPad Play, LTD.
2. I hereby consent to my child’s participation in the activities at Lilypad Play, LTD and hereby resolve, release, and hold harmless LilyPad Play, LTD and all of its officers, directors, employees, owners, shareholders, and other affiliates from any and all liability for injuries of damages that my child or I suffer in connection with the actives at Lilypad Play, LTD.
3. I recognize that all participation in the activities at Lilypad Play, LTD, even when well supervised and manage, poses a risk to myself and my child. These risk may include bodily injury, caused by your own actions/inaction of other participants exposure to communicable diseases or items to which the child may be allergic, rough play, accidents and other circumstances. Any of the foregoing may cause property damage, bodily injury, or death. I have full knowledge and awareness of these risks and willingly assume, on behalf of myself, my child, and the child’s legal guardians and custodians, all risks associated with eh use of the facility at Lilypad Play, LTD.
4. I hereby forever release and discharge Lilypad Play, LTD from any and all liability, claims, demands, losses, or damages, however caused, whether related to property damage, theft, and/or personal injury, and whether based on tort, intentional act, strict liability, negligence, and/or negligent rescue.  I will indemnify, save and hold harmless Lilypad Play, LTD from any claim, expense, attorney’s fees, loss, liability, damage, or cost which relates to, or arises from, this Waiver, to the fullest extent permitted by the law.  
5. In case of an emergency where I cannot be reached, I authorize the staff of Lilypad Play, LTD to obtain whatever medical treatment is deemed necessary for the welfare of my child. I further understand and agree that I will be financially responsible for all charges and fees incurred in the rendering of said emergency treatment, regardless of whether my medical insurance would cover such charges and fees.  I agree to exempt and relieve Lilypad Play, LTD from all liability arising as the result of this medical permission authorization. 
6. I understand and agree that my execution of this Waiver on the initial visit, will authorize Lilypad Play, LTD to enter this waiver into its database and use it as a continuous, multi-use waiver for my child’s ongoing participation in the activities.  I hereby expressly authorize Lilypad Play, LTD to use this Waiver as a multi-use waiver until such time as I revoke it in writing.  
7. I understand that entry to Lilypad Play, LTD by myself, my child, and the child’s legal guardians and custodians constitutes consent for Lilypad Play, LTD to use any photo and/or video taken of participants for publicity purposes, without payment to the participant. 
8. The invalidity or unenforceability of any provision hereof shall in no way affect the validity or enforceability of any other provision, which shall be enforced to the full extent of the law.

I represent and warrant that I am the parent, custodian, or legal guardian of the child identified below and have the full right and authority to execute this agreement on behalf of this child.  I further agree to defend, protect, indemnify (including payment of reasonable attorney fees) and hold Lilypad Play, LTD (individually and collectively) harmless from and against any and all causes of action, claims, liabilities, damages, costs and expenses.