Step 2 of 4

Children visiting

Add each child covered by this waiver.

Step 3 of 4

Emergency contact

Please provide someone we can contact in an emergency.

Step 4 of 4

Review & sign your waiver

Review the complete document with your information inserted, then sign below.

Release of liability and media waiver

I have read and understand the release of liability and media waiver, and agree to their terms.I verify that the information provided is current and accurate, and that I have legal authority to sign for the listed children.I consent to using my electronic signature to sign this waiver.

Electronic signature

Draw your signature with your mouse, finger, or stylus.

The waiver provided is the uploaded document with the company, location and example visitor data updated. Have legal counsel review it before using it for customers.

✓

Thank you for signing in!

Your signed waiver was emailed securely to Kiddy Club. You can also save a PDF copy for your records.