*1.Parent / Guardian Name(Required.)

*2.Child/ Children’s Name & Age(Required.)

*3.I agree to inform Wild Wonders Sensory of any known allergies or sensitivities prior to participation.(Required.)

Yes

No

Allergy (please specify)

*4.I understand that my child/children must be supervised at all times by their parent/guardian.
I acknowledge that I am responsible for ensuring my own/ my child/ children’s safety during sensory play.(Required.)

Yes

No

*5.I understand that photos and videos may be taken during sensory play activities for Wild Wonders Sensory's personal use, promotional purposes, or social media sharing.(Required.)

I GIVE CONSENT for myself/my child to be photographed or recorded and for the images to be used for promotional, social media, or marketing purposes.

I DO NOT GIVE CONSENT for any photographs or recordings of myself/my child to be used.

*6.I hereby release, waive, and discharge Wild Wonders Sensory and the property owners from any and all liability, claims, demands, or causes of action that may arise from my participation in sensory play activities. This includes but is not limited to injury, illness, allergic reactions, or damage to personal property.(Required.)

Yes

No