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ROYAL SPACE ACADEMY

PARTY / CHILD PARTICIPATION WAIVER copy and paste to message area below

Child’s Name: ___________________________ Age: ______

Parent/Guardian Name: ______________________________

Phone Number: _____________________________________

Emergency Contact: _________________________________

Emergency Phone: __________________________________

WAIVER

I, the undersigned parent/guardian, give permission for my child to participate in activities at Royal Space Academy, including laser tag, games, and party events. I understand these activities involve physical movement and possible risks such as falls, collisions, or minor injuries. I accept these risks and agree to release and hold harmless Royal Space Academy, its owners, and staff from any claims or liability related to participation.

AGREEMENT

I confirm my child is physically able to participate and will follow all rules and staff instructions. I authorize emergency medical care if necessary.

SIGNATURE

Parent/Guardian Signature: _____________________________

Print Name: ___________________________________________

Date: ____ / ____ / ______

Optional Media Release (delete one): YES NO