Waiver

The play area is designed for, and limited to, children 0 mos to 8 years old. Please acknowledge your understanding of this rule.
Age Limit(*)
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Adult(s) First Name(s) EXAMPLE: Jen and Jeff(*)
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Adult(s) Last Name(s) EXAMPLE: Jones -OR- Jones and Smith(*)
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E-mail(*)
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Phone No.(*)
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Your Birthday (parent/guardian)(*)
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Relationship to Minor(s)(*)
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Full Name and Birth Date of family members under the age of 18 ex: JOHN DOE
How many children are you registering?(*)
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Child's Full Name FIRSTNAME LASTNAME(*)
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Child's Birthday
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Child's Full Name 2
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Child's Birthday 2
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Child's Full Name 3
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Child's Birthday 3
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Child's Full Name 4
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Child's Birthday 4
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Child's Full Name 5
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Child's Birthday 5
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Child's Full Name 6
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Child's Birthday 6
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Other Children Names & Birthdates
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Waiver, Release, Hold Harmless, and Indemnification Agreement

Please read the Waiver. By clicking the box below, I ACKNOWLEDGE THE TERMS OF THE THIS WAIVER. Checking this box constitutes my understanding of the Waiver and acts as my physical signature.
Waiver Acknowledgement(*)
You must accept the waiver terms

Pre-existing Conditions

Individuals with head, neck, back, or other muscular-skeletal injuries or disabilities, pregnant women, small infants and others susceptible to injury from falls, bumps or bouncing are not permitted in the inflatables at any time.

(*)
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Planning a Party?

Are you registering for a party?(*)
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Party Rules

All birthday party Participants at Mellow & Play Café LLC will be responsible for any damages that occur in the party room and will be held liable and charged accordingly. By checking this box I acknowledge I have read and understand the information on the “Plan a Party!” page and agree to abide by the rules:
Choose an option
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(*)

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Jones OR Smith and Jones