Registration | Waiver

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R3.8.0

Corona's Premier Indoor Playground Since 2015

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1Primary Adult Personal information:

First Name:*
Last Name:*

Email:*
Phone:*

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Street Address:*

City:*
State:*
Zip:*

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1aEmergency Contact information (optional):

First Name:
Last Name:

Phone:

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2Additional Adults:

Adult 1:

First Name:
Last Name:

Phone:

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Adult 2:

First Name:
Last Name:

Phone:

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3Children information:

Child 1:

First name:*

Last name:*

Date of birth:*

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Child 2:

First name:*

Last name:*

Date of birth:*

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Child 3:

First name:*

Last name:*

Date of birth:*

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Child 4:

First name:*

Last name:*

Date of birth:*

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Child 5:

First name:*

Last name:*

Date of birth:*

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Child 6:

First name:*

Last name:*

Date of birth:*

4Terms & Conditions:

- The parent/guardian signing here is the parent/legal guardian of all listed children.
- The parent/guardian has read and agrees with our Liability Waiver.
- The parent/guardian has read and agrees with our Rules of the Land.

PARENT/GUARDIAN SIGNATURE:
Clear Signature

4aTerms & Conditions (Adult 1):

- The extra adult signing here is the parent or legal guardian of all listed children.
- The extra adult has read and agrees with our Liability Waiver.
- The extra adult has read and agrees with our Rules of the Land.

EXTRA ADULT(1) SIGNATURE:
Clear Signature

4bTerms & Conditions (Adult 2):

- The extra adult signing here is the parent or legal guardian of all listed children.
- The extra adult has read and agrees with our Liability Waiver.
- The extra adult has read and agrees with our Rules of the Land.

EXTRA ADULT(2) SIGNATURE:
Clear Signature

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Liability Waiver

In consideration of being a willing participant in any capacity at Romp-o-Rama in Corona, California, the participants and/or guardians signed on this waiver agree to the following:

I understand and acknowledge that the activity which I am or/and (any minor children for which I am the parent, legal guardian, or otherwise responsible, any heirs or personal representative) about to voluntarily engage in as a participant and/or volunteer bears certain known risks and unanticipated risk could result in injury, death, illness or disease, physical or mental damage to myself, to spectators or third parties. I am aware that this activity entails risk or injuries to myself (and any minor children for which I am the parent, legal guardian, or otherwise responsbile, any heirs, personal representative, or assigns) expressly agree, covenant and promise to accept and assume all responsibility and risk for injury, death, illness or disease, or damage to myself (and any minor children for which I am the parent, legal guardian, or otherwise responsible, and heirs, personal representative, or assigns). Participation in this activity is purely voluntary, no one is forcing me to participate, and I elect to participate in spite of the known and unknown risks. I agree to comply with the rules established by Romp-o-Rama.

Furthermore, I understand and acknowledge that any property which I am or/and (any minor children for which I am the parent, legal guardian, or otherwise responsible, any heirs or personal representative) bringing into Romp-o-Rama is my responsibility and any loss or theft of this property will not be the responsibility of Romp-o-Rama.

I hereby grant Romp-o-Rama permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based or electronic publications, without payment or other consideration. I understand and agree that all photos will become the property of Romp-o-Rama and will not be returned. I hereby irrevocably authorize Romp-o-Rama to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo. I hereby hold harmless, release, and forever discharge Romp-o-Rama from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

In consideration of the services provided, I, for myself and any minor children for which I am the parent, legal guardian, or otherwise responsible, any heirs, personal representatives or assigns , due hereby release Romp-o-Rama from any liability and waive claim for damages arising from any cases whatsoever (except that which is gross negligence). I further agree to reimburse Romp-o-Rama all attorney fees and costs should I bring legal action against the company and lose. This waiver is governed by California law and any dispute shall be resolved in Riverside County, CA.

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Copyright © 2015-2021 E&S Ventures, Inc./Romp-o-Rama

Rules of the Land

This is a SOCK ONLY facility.

Everyone, including adults, must remove shoes upon entry.

Socks must be worn at all times.

NO shoes or bare feet allowed.

A liability waiver must be signed for each child and adult.

A parent or guardian must sign a waiver for each child and show ID prior to use of the playground.

All adults, with or without children, must sign a liability waiver to enter the facility.

Keep an eye on your property.

Romp-o-Rama is not responsible for lost, damaged or stolen goods and personal property.

Day care is not available.

Parental supervision is required at all times.

NO adults permitted without paid fee of a child.

NO outside food and drinks (except water).

Outside food and drinks are prohibited unless pre-approved for booked parties and events.

NO food or drinks in play areas.

Food and drinks are not allowed on matted play areas, on equipment, or in Sports Court.

NO gum allowed.

NO sick children allowed in the facility.

Please be considerate of your fellow Rompers and DO NOT bring sick children to the playground. Any children exhibiting signs of illness will be asked to leave.