Agree and Acknowledge

I understand and acknowledge that if I proceed to register online and to sign the waiver electronically, that, under the Electronic Transactions Act, such electronic registration and electronically signed Waiver document will be valid and enforced in the same manner as a hand-signed document that exists in physical form and that a record or signature may not be denied legal effect or enforceability under law solely because it is in electronic form.

Basic Information

Use parent or guardian information if under 18

Contact Information

Use parent or guardian information if under 18

Minor Information

Enter the information for the children for which you are responsible for:

Giggle Jungle Indoor Playground Waiver

Acknowledging participation in the activities at Giggle Jungle Indoor Playground (Giggle Jungle LLC) facility, the undersigned, on his or her own behalf, and on behalf of any executors, heirs, successors and assigns, hereby acknowledges and agrees as follows:

1. The undersigned knowingly and fully assumes all risks, known and unknown, associated with participation in activities at Giggle Jungle Indoor Playground facility, and waives all claims for damage to personal property or injury to person arising from such participation. This waiver covers risks of death, serious injury, and property loss whether arising from (a) negligence or carelessness on the part of the persons or entities being released and other participants, or (b) dangerous or defective equipment.

2. The undersigned certifies that he or she and the participants listed below is physically fit and may participate in the activities available at Giggle Jungle Indoor Playground facility, and has not been advised to the contrary by a qualified medical professional.

3. The undersigned on his or her behalf and on behalf of any executors, heirs, successors and assigns, hereby releases, discharges, and holds harmless any authorized entity doing business as Giggle Jungle LLC, including its officers, agents, employees, representatives, and all affiliates, from any and all claims, damages, or liability arising from death, disability, personal injury, property damage, or theft, or any kind of action.

4. The undersigned agrees to abide all rules and conditions of participation posted at or explained by an employee at Giggle Jungle Indoor Playground facility. If the undersigned experiences any significant hazard or injury during such participation, the undersigned will promptly inform an employee of the Giggle Jungle LLC.

5. The undersigned acknowledges that this waiver form will be used and relied upon by Giggle Jungle LLC, and that it will govern the undersigned’s actions and rights. The undersigned authorize Giggle Jungle LLC to use this waiver as a continuous, multi-use waiver for ongoing participation in the activities until the undersigned revokes it in writing.

6. The undersigned consent Giggle Jungle LLC to produce, use, or reproduce pictures, sounds, or videos for advertising or promotional purposes that may include the undersigned or the participants listed below in printed, Internet, and all electronic publications.

7. The undersigned gives permission for Giggle Jungle Indoor Playground facility, its owner and employees, to authorize emergency medical treatment as may be deemed necessary for the participants listed below while participating in Giggle Jungle Indoor Playground activities. The undersigned hereby releases, discharges, covenant not to sue and agrees to indemnify and save and hold harmless Giggle Jungle LLC from all liability, claims, demands, losses or damages on the participant’s account caused or alleged to have been caused in whole or in part by the negligent medical treatment, failure to provide medical treatment, or negligent rescue operations, and further agrees to indemnify, save and hold harmless Giggle Jungle LLC from any litigation expenses, attorney’s fees, loss liability, damages, or costs incurred by Giggle Jungle LLC as a result of any such claim.


The undersigned parent and/or guardian does hereby represent that he/she is, in truth, acting in such capacity and agrees to save and hold harmless and indemnify each and all of the parties referred to above of all liability, loss, cost, claim, or damage whatsoever which may be imposed upon said parties because of any defect in or lack of such capacity to so act, and releases said parties on behalf of the minor and the parents or legal guardian.


By entering my name below and clicking the “Submit Waiver” button below, I indicate my acceptance and delivery of this waiver and release. I acknowledge that I have been given an opportunity to prevent or correct any error in connection with this waiver form. If I have submitted this waiver form in error, I will immediately notify you of the error, revoke my signature as instructed, and refrain from participating in any event or activity to which the waiver applies, as provided in Section 204(b) of the Uniform Electronic Transactions Act.