Open Play Reservation

Parent Name:*

Email:*

Phone:*

Date you're interested in reserving for open play*

Choose a time:*

How many adults and children attending?*

In consideration of my child being permitted to enter Once Upon A Dream, I agree to accompany, attend to, and monitor the play and activities of all the Participant(s) to ensure that all activities are appropriate and suitable for the age(s), weight(s) and ability of the Participant(s). I understand that play areas should be left as they were found, and I should clean up after my child. I assume all risks associated with my child’s participation and I understand that any potentially unsafe or dangerous behavior is prohibited, including but not limited to, running and climbing on top of the play equipment. I fully understand I am responsible for the safety of my child and all the risks associated with unsafe behavior that may cause injury.*

Yes, I understand and accept

I agree that the Participant(s) and I will comply with all stated and customary terms, posted safety signs, rules, and instructions / directions given by Once Upon A Dream and its employees as conditions for participation at Once Upon A Dream.*

Yes, I understand and accept

LIABILITY RELEASE WAIVER: By checking below, I release Once Upon A Dream from any liability for damages or injury that could arise as a result of participation and acknowledge and understand that I and the Participant(s) may need or require medical assistance during the participation at Once Upon A Dream, and understand such medical assistance will be at my own or my insurer’s expense*

Yes, I understand and accept

PHOTO CONSENT: I consent to Once Upon A Dream’s use of my or my child’s photograph for print and digital publications to promote activities and events. I understand that no compensation shall become payable to me by reason of such use.*

Yes, I understand and accept
No, I understand and decline

WE ARE A NO SHOES PLAY CENTER: Socks must be worn by adults and children for admittance. We will provide socks for $1 if anyone forgets.*

Yes, I understand and accept

COVID-19 ADDENDUM: Once Upon A Dream has implemented new enhanced guidelines, to keep you, your family and our staff safe during this new normal; however, Once Upon A Dream cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending Open Play at Once Upon A Dream could increase your risk and your child(ren)’s risk of contracting COVID-19.*

Yes, I understand and accept.

COVID-19 SCREENING: All children, parents and staff will be screened prior to entrance to Once Upon A Dream. These screening questions are taken from the CDC, DSS & WHO recommendations. Along with these screening questions, the day of your reservation Staff will check child(ren)'s and adults temperature and check for symptoms at entry and ask if medications were used to lower the child’s temperature and if there are any household members with COVID-19.*

Yes, I understand and accept

Have you or anyone in your household been directly exposed to someone with confirmed Coronavirus or a person under investigation? If yes, there is a 14-day waiting period for any one that has been exposed to or has tested positive for the coronavirus before they are able to enter, along with a physician’s note clearing the individual.*

No
Yes

We are a “well center” sick children or adults will not be permitted in. We encourage parents to be on the alert for signs of illness in their children and to keep them home when they are sick. If you or the child have flu-like symptoms such as fever, cough, chest pain or trouble breathing, we ask that you not come to the center, please go to the closest emergency room or urgent care center to be evaluated. We ask that if you do test positive for Coronavirus (COVID-19), and you have been in the center within the last two weeks, please let us know so that we can properly alert the staff and families who may have been exposed.*

Yes, I understand and accept.

ASSUMPTION OF RISK AND WAIVER OF LIABILITY: I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by visiting Once Upon A Dream and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at Once Upon A Dream may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Once Upon A Dream employees, volunteers, and other participants and their families.*

Yes, I understand and accept

Reservations are non refundable. Reservations start and end at reserved time (please be on time). If notice of cancellation is given 2 hours prior to reservation we may work with you to reschedule, depending on availability.*

Yes, I understand and accept

I represent and warrant that I am 18 years old or older, and I am of physical ability to participate and am legally competent to understand and complete this agreement. I also understand that this waiver is subject to change. I CERTIFY THAT I HAVE READ THIS AGREEMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A WAIVER OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.*

Once Upon a Dream

Open Play Reservation

Thank you for attending our Grand Opening celebration on November 8th, 2019!

We greatly appreciate that you came out in the cold to support us and can't wait to see you again soon.

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