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Kids City LLC General Liability Release Form 

CONFIDENTIAL

PPE (Personal Protective equipment) provided by company:

EVA non- slip foam slipper or Non-slip rubber grip socks

Nitrile glove

Use of any Photography and/or Videos:

The Playground may use any photos/videos taken at The Playground, without the expressed written and/or oral permission of those included within the photo/video. The Playground may use the photo/video in any form of advertisement or other media material produced including but not limited to: fliers, social media, website, fliers, etc. You and your heirs are agreeing to release, defend, hold harmless and indemnify The Playground from any and all claims involving the use of your photos/videos.

Assumption of Risk:

I know that physical activity is potentially hazardous and that I should not engage in any activity unless I am medically/physically able. I certify that I am in good health, and have no reason to believe I am not physically capable of participating in the event. (Remember, it’s always advisable to check with your physician).

I completely understand and realize that NOT using the company provided PPE in the above mentioned could be dangerous or hazardous to me.

By signing below, I agree to the fact that NOT  using company provided foot wear (PPE) can cause harm or injury to me. I release Kids City LLC named above from all liability, cost and damages which could arise from NOT using company provided safety gear in the above mentioned SAFETY GEAR. I agree to accept financial responsibility for the cost related to this emergency treatment and give my confirmation of the same by signing this document.

Gender

Your general liability release form will be filed in your confidential personnel record and will be retained for the duration of your employment plus 30 years. 

Thanks for submitting!

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