After School Form


Red Panda Play Space reserves the right to cancel of withdraw a registration of a group based on improper behavior and conduct of child participant and/or parent.

In consideration for allowing myself or child to participate in programs and other activities at or sponsored by Red Panda Play Space and further in consideration of the Red Panda Play Space allowing

me and/or my child to enter and use the facilities owned, leased or otherwise provided by the Red Panda Play Space (the “Facilities”) undersigned, for myself and for my child and his/her parents, heirs, assigns, personal and legal representatives and estate, fully and completely releases, discharges and holds harmless Red Panda Play Space, and its directors, trustees, officers, employees, agents, insurers, instructors, coaches, caregivers, and volunteers (collectively “its agents and employees”) from any and all claims, actions, causes of action, and damages of any kind whatsoever, including but not limited to claims for personal injury or property damage, arising out of myself and/or my child’s participation in any program or activity at the Red Panda Play Space or its Facilities.


The undersigned acknowledges and recognizes there are inherent risks involved in certain activities or recreational activities at Red Panda Play Space and the Facilities and the undersigned and myself or my child assumes the risk of any injury sustained while at Red Panda Play Space or at  its Facilities. The undersigned agrees to indemnify, defend and hold harmless Red Panda Play Space and its agents and employees from any and all claims arising out of my child’s participation in any program or activity at Red Panda Play Space or the Facilities, even if such claim  arises as a result of a negligent act or omission of Red Panda Play Space or its agents and employees.

I agree to pick up my child within 15 minutes of phone call in the event of emergency or if my child has improper behaviors that might cause harm to self or to others.


I give consent for myself or my child to be photographed, videotaped or filmed while participating in Red Panda Play Space activities and for the resulting images to be used by Red Panda Play Space for promotional purposes. This release is mandatory for volunteering. I may request not to have my child’s picture taken by written letter or email. 


Your Information

By clicking 'I Agree' below, you agree that you have read and agree with the terms of the waiver and that the information you provided is accurate. You furthermore agree that your submission of this form, via the 'I Agree' button, shall constitute the execution of this document in exactly the same manner as if you had signed, by hand, a paper version of this agreement.