No jeweled jeans or metal on pockets, they can damage play equipment 694 to White Bear Ave Go North to Buerkle Rd Go West on Buerkle Rd to 1815 Monkey House Party and Play Center 1815 Buerkle Rd, White Bear Lake, MN 55110 No clothing with studs, rhinestones or metal please MUST WEAR SOCKS TO PLAY! Be sure to wear comfortable play clothes. RSVP: Time: Date: Party for: MONKEY HOUSE LLP ASSUMPTION OF RISK, WAIVER, INDEMNIFICATION, HOLD HARMLESS AND RELEASE OF LIABILITY AGREEMENT Monkey House LLP (“Monkey House” aka “Monkey House MN” is a facility that has amusement equipment for use in, but not limited to; jumping, climbing, tumbling, running, throwing, bouncing, swinging and playing. Such activities can cause injury. I, ____________________________________ (parent, legal guardian or participant 18 years of age or older) acknowledge and understand there are inherently dangerous risks associated with participating in the activities and facilities at Monkey House LLP (“Monkey House” or “Monkey House MN”) that may cause injury or damage including, but not limited to; bumps, bruises, scrapes, cuts, contusions, fractures, paralysis or death. I willingly assume all risks on behalf of myself and any children listed below as participants or guests. I represent that I am the parent, legal guardian or have obtained the authority or permission of the parent(s) or legal guardian of the following named child participant(s) to execute this agreement on their behalf. Child name:__________________________________________ Date of Birth:_______________Relationship:______________ Child name:__________________________________________ Date of Birth:_______________Relationship:______________ Child name:__________________________________________ Date of Birth:_______________Relationship:______________ Child name:__________________________________________ Date of Birth:_______________Relationship:______________ I, on behalf of myself, my heirs, next of kin or executors, waive, release, and discharge Monkey House LLP, its owners, officers, agents and employees and agree to hold harmless from all liability for its negligent acts or omissions resulting from participation in any and all activities that result in loss or damage to property and or any and all activities that cause physical or emotional injury to me or my child or children. I assume all costs associated with such injury or loss including, but not limited to, property loss, medical and legal expense. I agree to indemnify Monkey House LLP, its owners, officers, agents, affiliates and employees for any defense cost or expense from any and all claims, liabilities, injuries or damages arising from participation or attendance. I understand and agree that this agreement is valid for this visit and any future visits and has no time limitations or expiration. I approve, on behalf of myself and the participants identified above, the use of any photographic images taken by Monkey House employees, representatives or equipment in marketing materials, including website or print media. I am of legal age, mentally competent and understand that I am giving up any right to bring a legal action or assert a claim against Monkey House LLP, its owners, officers, agents, affiliates and employees for its negligence or for any defective product on its premises. Participant/Parent/Guardian Name (please print):_____________________________________________________________ Participant/Parent/Guardian Signature:______________________________________________Date:___________________ Address:_____________________________________________________________________________________________ City:______________________________________ State:_________ Zip:_____________ Phone:_____________________ Emergency Contact Name:_________________________________ Emergency Contact Phone:_______________________ Opt in Email address for Monkey House News, Events and Promotions:___________________________________________________________ Save time. Pre fill out waiver and bring to the party. Ph:651-348-8233 Email: [email protected]
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