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Parent and Tot Daytime
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Event: |
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Start Date/Time: |
End Date/Time:
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Fee per Student:
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Room:
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* - denotes required fields |
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Family Information |
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Students entered below will be added to your family's account
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Add New Student #1:
(Show-Hide Details)
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Add New Student #2:
(Show-Hide Details)
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Add New Student #3:
(Show-Hide Details)
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Add New Student #4:
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Add New Student #5:
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Additional Information: |
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1
(Show-Hide Details)
I represent that I am the age 18 years or older and the legal parent or guardian of the registered child or children, OR I am the age of 18 years or older and have obtained permission from the legal parent or guardian of the guest(s) named in this registration to execute this agreement on their behalf.
I've read the above and agree.
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2
(Show-Hide Details)
I understand that WIDC is considered a ‘Staff-less’ facility, meaning that WIDC is un unsupervised play space in which staff may not be present at the facility. Furthermore, I acknowledge the requirement for every guest entering the WIDC gym to have a paid admission for the day of attendance, have a completed and signed Liability Waiver, and to be accompanied by an adult at all times. An adult defined herein as a person over the age of 18 that will be responsible for said guest(s). Adults must be in close proximity and able to keep visual contact with the guest(s) to ensure property safety and care at all times.
I've read the above and agree.
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3
(Show-Hide Details)
I represent that myself, others in my party, and any guest(s) attending the WIDC Parent and Tot Play Time are healthy and able to physically participate in all the activities undertaken.
I've read the above and agree.
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4
(Show-Hide Details)
I, on behalf of myself, and the guest(s) named in this registration agree that using the equipment and participating in the activities offered at WIDC is completely voluntary. I understand the inherent risks associated with any of the activities and equipment I choose to undertake while at WIDC.
I've read the above and agree.
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5
(Show-Hide Details)
I agree that, upon entering the facilities, registered guests named on the registration as well as any adults attending in conjunction with said guest(s) will comply with all stated terms, posted safety signage, rules, and any verbal instructions. Furthermore, I agree to pay for all damages to the facility of WIDC caused by myself, my party, or my guest(s), whether the actions were willful, through negligence, or recklessness.
I've read the above and agree.
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6
(Show-Hide Details)
I agree to refrain from any unsafe, inappropriate, or aggressive behavior or play at all times. Additionally, I agree to inspect the facility and all equipment prior to use and, if I observe any hazardous or unsafe conditions, will immediate contact a WIDC staff member.
I've read the above and agree.
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7
(Show-Hide Details)
I, on behalf of myself, and the registered guest(s) , fully comprehend and assume the risk, both known and unknown, that may arise which can include, but is not limited to, negligence on behalf of another guest(s) or guardian(s).
I've read the above and agree.
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8
(Show-Hide Details)
I, for myself and the guest(s) named on this registration, herby release and hold harmless WIDC contractors, and its sponsoring agencies from and against any and all claims, accidents, injuries, liabilities, or damages arising out of or related to our participation in any and all of the Facility or its activities, equipment, or other programs. Any and all claims, both present and future, against WIDC will be resolved through arbitration conducted by a mutually agreed upon and qualified 3rd party.
I've read the above and agree.
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9
(Show-Hide Details)
I understand and agree that my use of the Facility may be revoked at any time without a refund by Wisconsin Dance and Cheer Inc., owners, agents, employees, officers, directors, or representatives for misconduct, reckless or dangerous activity, or violation of any provision of this agreement by myself, any member of my party or by the guest(s) attending on my behalf. Additionally, I agree that all activity may be monitored through surveillance.
I've read the above and agree.
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10
(Show-Hide Details)
I give my consent to and waive any and all rights of compensation or claim, both present and future, in regard to the use of media coverage (video footage, photos, news articles, etc.) of my guest(s) and my participation in the activities, programs, parties, and other functions at the Facility. Including, but not limited to, any use for marketing purposes.
I've read the above and agree.
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11
(Show-Hide Details)
I have carefully read the aforementioned Assumption of Risk, Wavier, & Release of Liability Agreement, understand its contents, and am aware that I am releasing certain legal rights that I otherwise may have including the right to maintain a lawsuit against Wisconsin Dance and Cheer, Inc., on the basis of any claim from which I have released it herein. I have had sufficient time to read this Agreement in its entirety and consent to being fully bonded in its terms and conditions. This agreement shall be governed in the State of Wisconsin. If any of its provisions, terms, or conditions are held to be invalid or unenforceable by a court of competent jurisdiction, such holding will not invalidate, reduce or otherwise alter any of the other provisions of this Agreement, as the provisions of this Agreement are severable.
I've read the above and agree.
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Other Questions/Comments: |
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>Please fill out ONE of the following Payment Methods.
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Credit Card Verification: |
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Card Number: |
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Name as it appears on card: |
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Nickname:
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Card Expiration Month: |
Exp Year:
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Address Line 1:
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Address Line 2:
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City:
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State:
Zip:
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| eCheck/Bank Draft:
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Bank Name: |
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Bank Routing Number: |
(9-digit number)
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Your Account Name: |
(Your name on your bank statement)
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Your Account Type: |
Account Number:
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