Thank you for registering for Precess Drop-Off! Please complete the following form before attendance on your first day.

Parent Name *
Parent Name
In case we are unable to get ahold of you
By registering for a Drop-Off Camp at Recess I agree to follow all policies and procedures of the facility. I represent that I am the parent or legal guardian of the Child(ren) named above (“Children”), or I have obtained permission from the parent/legal guardian of the Children named above to execute this agreement on their behalf.

I enroll understanding that there are risks and benefits of physical activity and state that all family members participating are in condition to attend camp. I agree to provide health and safety issues regarding all family members so that the Recess staff members can best care for myself and my children in the event of an emergency. Non-compliance with Recess's policies and procedures may result in termination of camp.

Risk of Illness or Injury. I am aware of the risk of illness or injury inherent in any program which may include, but are not limited to: contusions, fractures, scrapes, cuts, bumps, paralysis or death. I, for myself and the Children named, willingly assume the risks associated with participation in Recess' programs upon the express understanding that there are also risks that may arise due to other participants which I also willingly assume.

I, for myself, the Children named, our heirs, assigns, representatives and next of kin agree to hold harmless and indemnify the owners, officers and employees of Recess Urban Recreation, Inc. (“Recess”), from any and all injuries, liabilities or damages from participation. I additionally agree to release Recess, its employees, agents and officers from any and all claims, liabilities, expenses or judgments, including attorneys' fees and court costs (hereinafter "Claims") resulting from participation.

I further represents that both I, nor the Children named, will be ill when coming to Recess and the child will not, to the best of the Visitor's knowledge, have been exposed to any contagious disease.

I agree that the Children named, and I shall comply with all stated and customary terms, posted signs, rules and verbal instructions as conditions for participation in use of Recess playspace. These include, but are not limited to: food must be consumed in the kitchen area, All participants must remove shoes & wear socks, Mouthed toys must be placed in bins marked for sanitizing, and Cell phone use must not distract from supervision of children. Furthermore, I agree that I will remain on the Recess premises at all times while their child is on the premises, unless otherwise agreed to by Recess, and the Visitor agrees to assume all risks that may occur should the Visitor or authorized caregiver leave the premises.

I have read this waiver, release and indemnity and fully understand its contents. I acknowledge and understand that by this Agreement, I agree to assume all risks of using the facilities at Recess and that in the event of my child's illness or injury I have no recourse against Recess, its employees, agents and officers. I have read, understand, agree to abide by and be bound by all rules and regulations. I understand and agree that my child and any authorized caregiver will also be parties to these rules and regulations.
I, the natural parent or legal guardian, hereby give permission that my child(ren), listed above, may be given emergency treatment to include first aid and CPR by a qualified childcare staff member at Recess. I further authorize and consent to medical, surgical, and hospital care, treatment and procedures to be performed for my child by my child’s regular physician, or when that physician cannot be reached, by a licensed physician or hospital when deemed immediately necessary or advisable by the physician to safeguard my child’s health and I cannot be contacted. I waive my right of informed consent to such treatment. I also give permission for my child to be transported by ambulance or aid car to an emergency center for treatment.