Please Circle location
9133 Red Branch Road
Columbia, MD 21045
410-992-0992
4102 Pepsi Place
Chantilly, VA 20151
703-502-1864
14119 Seneca Road
Germantown, MD 20874
301-987-2600
12853 Broad Street Road
Richmond, VA 23233
804-897-8425
PREMISES PLAY WAIVER
Play N’ Learn, Inc. offers Pay to Play and Free Play during certain times as a fun
and carefree activity to its customers and local parents. While it is a very safe
environment, the children must be supervised at all times while playing in the showroom.
I understand that participation in Play N’ Learn activities is risky, and that risks of
injury include, without limitation, scrapes, bruises, cuts, and even more serious injuries,
and I fully accept and agree to assume all of these risks (including risks arising from the
negligence of other participants), for myself and my child or ward.
With the full understanding of the risks stated above I, for myself and my child or
ward, hereby release, hold harmless Play N’ Learn, Inc., and the owners, officers,
directors and managers of such entities, and their heirs, successors and assigns, in
connection with the participation of myself, my child or my ward in activities at this Play
N’ Learn facility.
I agree and understand that this agreement is binding on myself, my child or ward,
and the heirs, successors and assigns of myself and my child or ward. By signing below, I
certify that I am the legal parent or guardian of the child for whom I am signing or, if I am
not the parent or legal guardian of the child, that I have the express permission of the
child’s legal parent or guardian.
* = Required Information, waiver must be completed for children to play
*Child 1 Name
*Child 3 Name
*Child 2 Name
*Child 4 Name
* Parent or Guardian Name
* Participant Parent or Guardian Signature
*Street Address
* City
E-mail address
* State
* Zip
Phone Number
By providing your email address you are automatically entered to win a $300 Gift Certificate from Play N’ Learn, Inc. (PNL). PNL never shares information provided with any other party.
PNL does offer our customers special coupons and offers for our products, play coupons and party discounts via email. Please follow us on Facebook and Twitter.
How did you hear about us?
* Date