BOORN Play - Learn - Grow

Operated by Pty Ltd ACN 611 046 925

WAIVER, DISCLAIMER AND LIMITATION OF LIABILITY

This form is required from parents and guardians for all children left with BOORN, Learning Pod and Giggle Zone. The activities are recreational and involve a level of risk and exertion. As such certain implied consumer guarantees which might otherwise apply at law will be excluded by the operation of this waiver. You must, prior to accessing any services provided by eaither BOORN, Learning Pod Group or Giggle Zone, disclose any condition that may place your child, or a child your responsible for at risk by participating in the activities. If a child is at risk or requires additional support or one to one assistance we recommend the child does not participate.

I, Insert Name *

Emergency contact number *

acknowledge and agree to the following matters.

Name of Child *

Email address *

Location *

Port Kennedy - Learning Pod GroupMandurah - Giggle Zone - Nerf Gun Party Booking Bunbury - BOORN Other

If Yes to above, Explain more and advice the team on the day, Please note we may not be able to cater for your child needs

1. I am the parent / Adult or am otherwise duly authorised to make this declaration in relation to the following children (persons under 18 years) and I acknowledge the below time, date, activity and location to be true and correct upon signing. *

2. I acknowledge:

a. the child/ren will engage in physical, educational, wellbeing activities at BOORN, Learning Pod and/ orGiggle Zone;

b. the activities are not devoid of danger and it is possible that a child may get hurt;

c. my consent to the child engaging in all activities provided at BOORN, Learning Pod and/or Giggle Zone and do so in acknowledgement that the child does so at its own risk;

d.that I release and discharge, to the full extent permitted by law, the BOORN,Learning Pod and/or Giggle Zone operator, its officers, employees and contractors from all and any liability flowing from a child being hurt, whether that be physically, emotionally, due to a deprivation of liberty or otherwise;

e. I have freely and voluntarily signed this form and it establishes legal and binding matters between me, each child and the BOORNLearning Pod and/or Giggle Zone operator; and

f.these conditions are contractually binding, the consideration for which is the BOORN,Learning Pod and/or Giggle Zone operator providing the activities and services in exchange for the price paid by me for them.

3. I warrant that I am and will not attending the BOORN Learning Pod and/or Giggle Zone premises or facilities at any time while under the influence of drugs or alcohol.

4. I agree to abide rules and directions provided by Learning Pod Group or/or Giggle Zone staff and signs, and to guide each child to do so.

5. I further warrant that each child listed in this form, and myself if I am entering the premises or engaging in any activity, does not have any history andis physically, Mentally, emotionallysound, and capable of engaging in activities such as those provided by BOORN Learning Pod Group or Giggle Zone.

6. I consent to BOORN Learning Pod Group or Giggle Zone to taking any necessary action to assist with a listed child’s welfare including the administration of any emergency medical treatment or the engagement of medical services. I also agree to be responsible for and indemnify BOORNLearning Pod Group or Giggle Zone for the cost of any treatment incurred.

7. I take full responsibilityfor any child listed with any medical conditions, medication, or allergies. I agree that is not the responsibility of the BOORN Learning Pod Group and / or Giggle Zone.

8. Each provision in this agreement is individually severable. If any provision is or becomes illegal, unforeseeable, or invalid it is to be treated as being severed from this agreement, but the rest of the agreement will not be affected.

Signature; By Signing above; I agree to receive services and possible risks *

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Date *