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Little Sprouts Play Land Field Trip Waiver

Child's Birthday
Month
Day
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Photo Permission

Please Read The Waiver Below

By signing this form, I confirm that I am the parent or legal guardian of the child listed above. I give permission for my child to participate in the field trip to Little Sprouts Play Land. I understand that indoor play activities involve inherent risks, including falls, collisions, and other injuries. I voluntarily assume those risks on behalf of my child and release Little Sprouts Play Land, its owners, employees, and affiliates from claims arising from ordinary participation, except as otherwise required by law. I also authorize emergency medical care if I cannot be reached.

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Signature Date
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12013 FM2305 Belton, Texas 76513

©2019 by Little Sprouts Play Land.

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