Hometown Hideout Indoor Children's Playroom INC. Waiver Signature

Guardian's First name

Guardian's Last name

Email

First and Last Name

First and Last Name of any person over the age of 18 accompanying the guardian.

Minor's First and Last Name (s)

Must name each minor under your care entering the playroom.

I hereby agree to ALL terms and conditons stated on the Hometown Hideout Indoor Children's Playroom INC Waiver of Liability, Claims and Indemenity Agreement document above.

Signature Of Guardian

Signature field is empty.

In signing I hereby understand agreement that this is a legal binding signature of every person listed on this waiver.

Hometown Hideout Indoor Children's Playroom Waiver

Hometown Hideout Indoor Children's Playroom INC. Waiver Signature