Children’s Museum Waiver Form
Please complete this form to acknowledge and consent to the museum's waiver and release terms before participating.
Child’s Full Name
*
First Name
Last Name
Parent or Guardian Full Name
*
First Name
Last Name
Parent or Guardian Email Address
*
example@example.com
Parent or Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Waiver and Release Declaration:
By submitting this form, I acknowledge and agree that participation in activities at the Children’s Museum involves inherent risks. I hereby release, discharge, and hold harmless the museum, its staff, and affiliates from any and all liability, claims, or demands arising from participation. I confirm that I am the parent or legal guardian authorized to provide this consent.
Signature of Parent or Guardian
*
Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Waiver
Submit Waiver
Should be Empty: