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Adult Information

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( Age must be at least 18 years old )

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Liability Waiver

Please read the waiver below and fill out the required fields found in the following form sections. All liability language from the waiver will apply to all persons listed below.

Assumption of Risk – Waiver of Liability – Indemnification Agreement



KinderZone is a children’s indoor playground facility that provides fun and free play related recreational activities for children. This KinderZone establishment is owned and operated as a part of KinderZone, LLC. Among the fun activities that we provide within the indoor playground which include, but are not limited to, slides, climbing wall, tunnels, tubes, and log swings. In addition, your 3-year-olds and younger may play in their own special toddler area which includes smaller, softer obstacles and age-suitable toys and games. KinderZone provides each youngster with the opportunity to move, be active, develop fitness, and combat obesity while having fun in a great environment.

While the many health, fitness, and entertainment benefits of these activities are apparent, KinderZone and its staff regard participant safety as a top priority and feel it is important that the PARENT/GUARDIAN understand that there is some risk of injury in all physical activity. KinderZone takes great care to reduce the risks associated with our activities; nevertheless, regardless of the care taken to provide safe activities and to avoid injuries, all risk of injury can never be totally eliminated.  A few examples of the inherent risks include being struck by a toy; being kicked; collisions with other children, adults, or stationary objects; falls; participant failure to adhere to posted rules or warnings; careless, erratic, or negligent acts by co-participants or attending parents; excited partying children (running into others, swinging objects carelessly, playing in a reckless manner); unexpected equipment failure; unknown facility hazards or defects; errors in judgment by KinderZone personnel or volunteers  (i.e., misjudging participant ability or fitness level, failure to give adequate warnings or instructions, failure to recognize dangers, and concentration lapses while supervising. In addition, parents, guardians, or other adults accompanying the child/children face inherent risks (e.g., slip and falls, collisions with children or other adults) that can result in minor or serious injuries. 


KinderZone feels that it is important that the PARENT/GUARDIAN understand that these types of injuries can occur. While KinderZone hopes to have an excellent safety record, children will occasionally suffer minor discomfort from headaches, sprains, abrasions, minor cuts, bruises, and may be a little sore the next day. More serious injuries such as broken bones, joint injuries, and concussions are rare, but could happen. Really serious incidents such as paralysis, heart attack, or death at KinderZone would be extremely rare, but could conceivably occur.


Assumption of Inherent Risks: I, the PARENT/GUARDIAN assert that I have been reminded and understand that all activities of KinderZone include inherent risks that cannot be completely eliminated regardless of the care taken by KinderZone. I know, understand, and appreciate the types of injuries inherent in KinderZone activities and have explained them to my child/children.  I hereby assert that the participation of my child/children is voluntary and that I, (on behalf of myself and my child/children), knowingly assume all inherent risks of the activity.


Waiver of Liability: In consideration of permission for my child/children to participate in KinderZone activities, today and on all future dates, I, the PARENT/GUARDIAN, on behalf of myself, my spouse, heirs, children, executors, administrators, personal or legal representatives, and assigns (hereafter referred to as the Releasing Parties) do hereby waive, release, covenant not to sue and discharge KinderZone [including KinderZone, LLC, all corporate partners and owners, directors, board members, officers, employees, volunteers, independent contractors, agents, equipment suppliers, and owners/operators of all venues (hereafter referred to as the Protected Parties)] from liability from any and all claims, demands, and actions of every name and nature including those arising from the ordinary negligence of the Protected Parties (this should not be construed to waive claims of gross negligence, reckless conduct, willful/wanton conduct, or intentional acts).

This agreement applies to 1) personal injury (including death) to my child/children, to myself, or to my spouse from incidents or illnesses arising directly or indirectly from my child/children’s participation in KinderZone activities, including, but not limited to: parties, special events, and recreational play; while as a participant, observer, or spectator; and individual use of all facilities. This agreement applies to all facilities, equipment, and all other venues or premises including the associated sidewalk, restroom, and parking lots and to 2) any and all claims resulting from the damage to, loss of, or theft of property.


Indemnification: I, the PARENT/GUARDIAN, also agree to hold harmless, defend, and indemnify Protected Parties (that is, defend and pay any judgment and costs, including investigation costs, attorney’s fees, and related expenses) from any and all claims of Releasing Parties or others acting on behalf of the participant or PARENT/GUARDIAN, arising from participation in KinderZone activities, (including those arising from the inherent risks of the activity or the ordinary negligence of Protected Parties).

I, the PARENT/GUARDIAN further agree to hold harmless, defend, and indemnify KinderZone against any and all claims of co-participants, rescuers, and others arising from the conduct of me or my child/children in KinderZone activities.


Clarifying Clauses: I, the PARENT/GUARDIAN confirm:

The foregoing Assumption of Risk, Waiver of Liability, Indemnification Agreement, and Covenant Not to Sue is intended to be as broad and inclusive as is permitted by the laws of the State of Iowa that if any portion thereof is held invalid, it is agreed that the balance shall continue in full legal force and effect.  

This agreement supersedes any and all previous oral or written promises or agreements. I understand that this is the entire agreement between me and KinderZone and that it cannot be modified or changed in any way by representations or statements by any agent or employee of KinderZone.  

If legal action is brought against KinderZone, LLC, either the appropriate state court serving Sioux County, Iowa, or the United States District Court for the Northern District of Iowa has the sole and exclusive jurisdiction and that only the substantive laws of the State of Iowa shall apply.

Prior to pursuing legal action, I will engage in good faith efforts to mediate any dispute that might arise.  Any agreement reached will be formalized by a written contractual agreement at that time.  Should the issue not be resolved by mediation, I agree that all disputes, controversies, or claims arising out of participation in KinderZone shall be submitted to binding arbitration in accordance with the applicable rules of the American Arbitration Association then in effect.

Acknowledgements to Promote Participant Safety: These affirmations aid KinderZone in providing for the health and safety of the participant.


Health Status: The PARENT/GUARDIAN affirms that his or her child/children:

Possesses no health problems or physical disabilities that would make participation unwise or risk injury.

Understands that KinderZone advises all participants to seek medical clearance prior to participation.

Possesses sufficient skills, experience in the activity, coordination, and fitness to safely participate.


Medical Care: The PARENT/GUARDIAN:

Authorizes the use of first aid by KinderZone if KinderZone staff deems it is needed.

Authorizes the use of CPR if KinderZone staff deems it is needed.

Authorizes the use an AED (when available) should KinderZone staff deem it is needed.

Authorizes KinderZone to secure emergency medical care and transport if deemed necessary.

Agrees to assume all cost of emergency care and transportation.

Rules and Safety. The PARENT/GUARDIAN agrees

To explain KinderZone rules to the child/children and instruct the child to follow them.

To report all injuries (even minor injuries) so that KinderZone may take necessary actions.

That KinderZone has authority to halt my child’s participation if it endangers the child or others.

That KinderZone requires that the PARENT/GUARDIAN take an active role in supervising their children during play.

To monitor and supervise my child/children during play.


Acknowledgment of Understanding: I, the PARENT/GUARDIAN have read and understand this Agreement.  Further, I, the PARENT/GUARDIAN, assert that I have explained the risks of the activity to my child/children, and they understand this Agreement. I understand that I am giving up substantial rights, including my rights and the rights of my children to sue for damages in the event of death or injury to my child or to me.  I acknowledge that I am voluntarily signing this agreement and intend my signature to be a complete release of all liability, including that due to inherent risks or ordinary negligence by the Protected Parties, to the greatest extent allowed by the laws of the state signified above. I understand that this agreement extends forever into future and will have full force and legal effect every time I or my child/children visit KinderZone

By signing this waiver, I agree that all information is complete and accurate.