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Parental Waiver, Release of Liability, Assumption of Risk, and Photo Release

PARENTAL WAIVER, RELEASE OF LIABILITY, ASSUMPTION OF RISK, AND PHOTO RELEASE

As the parent and/or lawful guardian of the above named child(ren), I desire for my child(ren) to participate in programs and activities (the “Services”) offered by Little Lake, LLC (the “Company”) at 111 S. Florida Avenue, Lakeland, FL 33801 (the “Premises”).


In consideration of the Company permitting my child(ren) to enter the Premises and participate in the Services, I, on behalf of myself, my child(ren), and all parents, guardians, heirs, and assigns of my child(ren), hereby agree as follows:

1. Assumption of Risk

I understand and acknowledge that participation in children’s play programs and group activities involves inherent risks. These risks include, but are not limited to, slips, falls, collisions with other children or objects, exposure to illness, and other injuries that may occur during indoor or outdoor play, movement activities, and group interaction.

While the Company takes reasonable measures to promote a safe environment, I understand that not all risks can be eliminated. I knowingly and voluntarily allow my child(ren) to participate in the Services with full knowledge of these risks and expressly assume all such risks on behalf of myself and my child(ren).

2. Release of Liability and Indemnification

I hereby waive, release, and forever discharge any and all claims, demands, or causes of action, whether known or unknown, that I or my child(ren) may have against the Company and its owners, employees, contractors, volunteers, or agents, arising out of or related to my child(ren)’s participation in the Services, including claims arising from the ordinary negligence of the Company.


I further agree to indemnify and hold harmless the Company from any loss, liability, damage, or cost, including reasonable attorney’s fees, arising from my child(ren)’s actions or participation in the Services.

This waiver does not apply to claims arising from gross negligence or intentional misconduct to the extent such claims may not be waived under Florida law.

3. Health Representation and Medical Disclosure

I confirm that my child(ren) is in good health and physically able to participate in the Services. I further confirm that I have fully disclosed to the Company all allergies, medical conditions, behavioral considerations, and medications relevant to my child(ren)’s care.

I acknowledge that failure to fully disclose such information may increase the risk of harm to my child(ren), for which the Company shall not be responsible.

4. Conduct, Policies, and Suspension

I agree that my child(ren) and I will abide by all policies, rules, and procedures established by the Company. I understand that if the Company determines, in its sole discretion, that my child(ren)’s behavior is unsafe or inappropriate, the Company may suspend or terminate my child(ren)’s participation in the Services. In such event, all fees paid may be forfeited. Where practicable, the Company will make reasonable efforts to notify a parent or guardian.

5. Photo and Media Release

I grant the Company permission to photograph, video, or otherwise capture images of my child(ren) during participation in the Services. I authorize the Company to use such images for promotional, marketing, educational, or informational purposes, in any medium or format, worldwide and in perpetuity, without further consent or compensation.

6. Governing Law and Acknowledgment

This Waiver shall be governed by and construed in accordance with the laws of the State of Florida. Any legal action arising from this Waiver or the Services shall be brought in Polk County, Florida.


By signing below, I acknowledge that:

  1. I have read and understand this document in its entirety.

  2. I understand that I am waiving substantial legal rights on behalf of myself and my child(ren).

  3. I am signing this Waiver voluntarily and without inducement.

  4. I am at least eighteen (18) years of age and legally authorized to sign on behalf of my child(ren).

  5. If any portion of this Waiver is held invalid, the remaining provisions shall remain in full force and effect.

  6. An electronic signature shall be deemed an original signature.

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HEALTH INFORMATION AND CONSENT TO TREAT

(Complete one per child)

Medical Treatment and Transportation Consent


I authorize the Company to administer basic first aid to my child(ren) as needed. I further authorize the Company to seek emergency medical treatment and transportation for my child(ren) if reasonably necessary and if I or the listed emergency contacts cannot be reached in a timely manner.


I understand that the Company does not guarantee the availability of medical personnel and assumes no responsibility for the outcome of any medical treatment or transportation provided. I accept full financial responsibility for any medical care or transportation rendered.

I hereby release and hold harmless the Company from any claims arising from emergency medical treatment or transportation provided pursuant to this consent.

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By signing below, you agree to the terms and conditions of this health waiver

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