Adventure and Activity Camp Field Trip / Wacky Tacky Waiver


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ALL 4 WEEKS OF OUR SUMMER CAMPS WILL INCLUDE A FIELD TRIP TO WACKY TACKY!

 

Wacky Tacky Liability Release

In Consideration of being a willing participant in any party at Wacky Tacky in Rancho Cordova, California , The participants and/or guardians signed on this waiver agree to 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 personal representative) about to voluntarily engage in as a participant and/or volunteer bears certain know risks and unanticipated risk could result in injury, death, illness or disease, physical or mental, or damage to myself, or to spectators or third-parties, I, being aware of this activity entails risk or injuries to myself (and any minor children for which I am the parent, legal guardian, or otherwise responsible, any hires, 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.

Release: 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 Wacky Tacky Corporation from any liability and waive claim for damages arising from any cases whatsoever (except that which is gross negligence). I further agree to reimburse you all attorney fees and costs should I bring legal action against you and lose.

Please Don’t forget Socks must be worn at all time.

 

Today’s Date: [bh_default_value default=”{{order_create_date}}”][/bh_default_value]

 

Participant’s Name:

Participant’s Date of Birth:

 

Parent / Guardian Name(s):

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Parent / Guardian Email(s) – For notification of specials & coupons (Optional):
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Address Line 1:

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Address Line 2 (Optional):
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City: State: Zip:
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Emergency Contact Name (First and Last)

Emergency Contact Phone #

 


The Technique Gymnastics Activity and Adventure Camp Director will print all signed forms for all participants and bring to Wacky Tacky on the day of the Field Trip. If you have any questions please don’t hesitate to call.

Thank you,

Wacky Tacky
11327 Folsom Blvd 
Rancho Cordova, CA 95746 
Tel: 916-476-3315

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Signed by Kathy Olvera
Signed On: August 20, 2019

Technique Kids' Activity Center https://www2.techniquegym.com
Signature Certificate
Document name: Adventure and Activity Camp Field Trip / Wacky Tacky Waiver
Unique Document ID: f423e0a5ec6591066ea503885fab25f34c860d6b
Timestamp Audit
August 20, 2019 1:41 pm PDTAdventure and Activity Camp Field Trip / Wacky Tacky Waiver Uploaded by Kathy Olvera - info@techniquegym.com IP 192.163.242.93