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Liability Waiver

Please review and complete the following wavier prior to visiting HECA Play Lab to speed up your check-in process. 

 
 

ASSUMPTION OF RISK, RELEASE AND WAIVER OF LIABILITY, INDEMNITY AGREEMENT (“WAIVER”)

In consideration of being permitted to enter and use the facilities, play area, programs, services and equipment at HECA Play Lab LLC (“HECA Play Lab”) located at 7033 15th Avenue NW, Unit E, Seattle, Washington 98117 (“Premises”), the undersigned representative, on behalf of himself or herself and the participants identified below (the “Participants” and each a “Participant”) acknowledges and agrees to the following:

1. I represent that I am the parent or legal guardian of the Participants named below or I have obtained permission from the parent or legal guardian of the Participants named below to execute this agreement on their behalf. I agree that the Participants named, and I shall comply with all stated and customary terms, rules, and instructions of HECA Play Lab as a condition of the entry and use of the facilities, play area, programs and services at the Premises.

2. I give my consent for photographs taken of me or the Participant(s) named herein to be used for publicity purposes: on the HECA Play Lab website, in brochures, and flyer and new releases, and in presentation to future customers. I understand that I for myself and the PArticipants names herein will receive no compensation for such use. I retain the right to have any photographs discontinued from use in any or all of the above venues upon request, and if, at any time, I wish my or the Participants named herein photograph(s) to be discontinued from any of the above, it is my responsibility to contact HECA Play Lab to make this request.

3. I acknowledge and understand that there are known and unknown risks associated with the entry and use of the facilities, play area, programs and services at the Premises. I, for myself and the Participants named herein, knowingly and willingly assume any and all known and unknown risks associated with the entry and use of the facilities, play area, programs and services at the Premises which may or may not be expressly stated herein.

4. USE OF THE HECA PLAY LAB’s FACILITIES, PROGRAMS, SERVICES AND EQUIPMENT IS AT THE UNDERSIGNED AND EACH PARTICIPANT’S SOLE RISK. THE PREMISES ARE PROVIDED ON AN “AS IS” AND “AS AVAILABLE” BASIS. THE UNDERSIGNED REPRESENTS THAT IT HAS INSPECTED THE HECA PLAY LAB’s PLAY AREA, FACILITIES, PROGRAMS AND SERVICES AND FINDS AND ACCEPTS THEM AS BEING SAFE AND REASONABLY SUITED FOR ITSELF AND THE PARTICIPANTS. HECA PLAY LAB EXPRESSLY DISCLAIMS ALL WARRANTIES OF ANY KIND, WHETHER EXPRESS OR IMPLIED. THE UNDERSIGNED ON HIS OR HER BEHALF AND ON BEHALF OF THE PARTICIPANTS ASSUMES FULL RESPONSIBILITY FOR AND RISK OF BODILY INJURY, DEATH OR PROPERTY DAMAGE WHILE IN, ABOUT OR ON THE HECA PLAY LAB’s PREMISES OR USING THE HECA PLAY LAB’s PLAY AREA, FACILITIES, SERVICES OR EQUIPMENT. THE UNDERSIGNED, ON HIS OR HER BEHALF AND ON BEHALF OF THE PARTICIPANTS, HEREBY WAIVE AND RELEASE ANY AND ALL LOSSES, LIABILITIES, DAMAGES OR CLAIMS AGAINST HECA PLAY LAB, ITS MEMBERS, MANAGERS, EMPLOYEES, AND AGENTS (THE “RELEASED PARTIES” AND EACH A “RELEASED PARTY”) ON ACCOUNT OF ANY INJURY TO PERSON OR PROPERTY OR DEATH OF THE UNDERSIGNED AND/OR THE PARTICIPANTS, WHETHER CAUSED BY NEGLIGENCE OR GROSS NEGLIGENCE OF THE RELEASED PARTIES WHILE THE UNDERSIGNED AND/OR PARTICIPANTS ARE ABOUT OR ON THE HECA PLAY LAB PREMISES OR USING THE HECA PLAY LAB’ PLAY AREA OR FACILITIES. THIS RELEASE AND WAIVER IS INTENDED TO BE AS BROAD AND INCLUSIVE AS PERMITTED BY THE LAWS OF THE STATE OF WASHINGTON AND THAT IF ANY PORTION HEREOF IS HELD INVALID, IT IS AGREED THAT ANY REMAINING PORTIONS SHALL REMAIN IN FULL FORCE AND EFFECT.

5. THE UNDERSIGNED AGREES TO INDEMNIFY AND HOLD HARMLESS EACH OF THE RELEASED PARTIES FROM ANY AND ALL LOSS, LIABILITY, OR DAMAGE INCURRED AS A RESULT OF HIS OR HER AND/OR A PARTICIPANT’S INJURY TO PERSON OR PROPERTY OR DEATH IN, ABOUT OR ON HECA PLAY LAB’s PREMISES OR USE OF HECA PLAY LAB’s PLAY AREA, FACILITIES, SERVICES OR EQUIPMENT WHETHER CAUSED BY THE NEGLIGENCE OR GROSS NEGLIGENCE OF A RELEASED PARTY.

6. THE UNDERSIGNED HAS READ AND KNOWINGLY AND VOLUNTARILY SIGNS THIS ASSUMPTION OF RISK, RELEASE AND WAIVER OF LIABILITY, INDEMNITY AGREEMENT AND ACKNOWLEDGES, UNDERSTANDS AND AGREES TO SUCH TERMS.


Adult/Parent.Guiardian Name *
Adult/Parent.Guiardian Name
Adult/Parent/Guardian Name (Required)
Phone
Phone
Emergency Contact
Emergency Contact
Emergency Contact Phone Number
Emergency Contact Phone Number
Participant 1 Name *
Participant 1 Name
Participant 1 Birth Date *
Participant 1 Birth Date
Participant 2 Name
Participant 2 Name
If only 1 participant please input 'NA'.
Participant 2 Birth Date
Participant 2 Birth Date
Participant 3 Name
Participant 3 Name
If only 2 participants, please input 'NA'.
Participant 3 Birth Date
Participant 3 Birth Date
Checkbox *
Check to Agree to our Liability Waiver (required)