LIABILITY WAIVER AND HOLD HARMLESS AGREEMENT
I, as parent or legal guardian of the child whose name is set forth below (each referred to as a
“Participant” and collectively referred to herein as the “Participants”) and in consideration of the
Participants being permitted to participate in the Activities (as defined below) conducted by Pom Pom
Play Cafe Ltd., located at 3707 8 Ave, Edmonton, Alberta, T6X 2E9 (“Pom Pom Play Café”) I agree as
1. Activities – Activities shall be defined as the various activities offered to Participants by Pom Pom Play
Café, an indoor playground and cafe.
2. Assumption of Risk – I understand that the Activities entail the risk of severe bodily injury to the
Participants. Injuries that could result may vary, but may include (a) minor injuries such as scratches,
bruises and sprains; (b) major injuries such as eye injury or loss of sight, joint or back injuries and
concussions; and catastrophic injuries, including paralysis and even death. I understand that, Pom Pom
Play Café cannot eliminate all risks or guarantee the safety of the Participants while Participants
participate in the Activities. I have made my own investigation of these risks, understand these risks, and
assume them knowingly and willingly on behalf of myself and my minor Participant child. Notwithstanding
these risks and other hazards that may be foreseeable but not specifically identified herein, I, for myself
and any minor Participant child, and our respective heirs, personal representatives and assigns,
understand, acknowledge, and expressly and voluntarily assume all risks and full responsibility for any
injury arising out of or related to the Activities.
3. Release, Discharge and Agreement Not To Sue – I, for myself and any minor Participant child and our
respective heirs, personal representatives and assigns, do hereby release, discharge and agree not to
sue Pom Pom Play Café or its managers, members, employees and/or other agents, for any injury to or
death of any Participant arising, directly or indirectly, from participation in the Activities. This release,
discharge and covenant not to sue shall relate to any and all claims or legal rights now existing or arising
in the future, including claims and legal rights arising out of any negligence of Pom Pom Play Café and/or
its managers, members, employees and/or other agents and any other breach of a legal duty arising out
of common law, statute, contract or otherwise.
4. Indemnification And Hold Harmless – I agree to indemnify Pom Pom Play Café and hold Pom Pom
Play Café harmless from, without limitation, any and all claims, actions, suits, procedures, costs,
expenses, damages and liabilities, including attorney’s fees and costs, incurred due to claims brought by
any party as a result of or arising out of my or my minor Participant child’s involvement in the Activities
and agree to reimburse Pom Pom Play Café for any such costs, expenses and fees as they are incurred.
5. Parent Or Legal Guardian Certification And Consent – I hereby certify that I am the parent or legal
guardian of the minor Participant children whose name(s) appear below, and I have authority to waive
rights on behalf of the minor Participant(s). I have read and I understand all the provisions of this
document and the risks of the Activities. I understand that the Activities could cause injury and even
death. I acknowledge that I have read and understand the terms of this document and I am freely and
voluntarily signing this document.