WAIVER OF LIABILITY Next Gen Participant
Children must be potty trained to participate. Ages 3 and above are welcome.
Child's Name: ______________________________________ Date of Birth: ______________ _______________________________________
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List Injuries / Illness (include allergies, medications, etc.): _________________________________________________________________________ _________________________________________________________________________ Anything you would like us to know about your child(ren)...? _________________________________________________________________________ _________________________________________________________________________
Parent/Guardian Information Parent/Guardian Name: ______________________________________ Phone: ____________ Home Address: ______________________________________________________________ Email: ____________________________________________________________________ Emergency Contact (besides on-site caregiver): ____________________Phone: _____________
Kid’s Club Policies (Ages 3+ & Potty Trained) • • •
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Children must be potty trained to participate in Next Gen. Ages 3 and above are welcome. Reservations are required. o Twelve (12) Children maximum will be allowed at Next Gen at once
To keep everyone healthy and safe, we ask that you do NOT bring your child if they are sick, have had a fever (and not on a fever reducing medication) within the last 24 hours, or have had any recent exposure to a contagious illness. Face masks are required. Next Gen is a shoeless space and socks are mandatory. Shoes must be left in cubbies unless there is an outdoor activity arranged in advance. Parent/caregiver MUST remain ON-SITE while child(ren) is participating in Next Gen. No outside food or drinks will be permitted, except for water. This is due to possible spills and potential allergies of other children. Lunch may be ordered from the Snack Bar for Lunch and Dinner is available at an additional $5 per child. You may bring any items that your child may require during the session such as special toys, or other comfort items. Please note we DO allow iPods/iPads/Game Boys/etc., but the child may be asked to turn the sound down or all the way off, if needed. Please put your children’s personal items in the cubbies by the front door, and have your child use the restroom before joining the Next Gen area. o Kids MUST be potty trained and be able to use the restroom alone. If your child displays repeated behavioral concerns (biting, hitting, hair pulling, etc.), you will be asked to leave your child at home. We know that situations arise, and we will always let parents know if there are any concerns/incidents. We want your Next Gen experience to be worry free and will do our best to keep your children happy. However, if your child is inconsolable, you will be notified.
By signing below ...I acknowledge that I have read, understand, and agree to the above Kid’s Club/Next Gen policies. I understand that by signing this waiver, I release and hold harmless Annandale Golf Club, and its owners, directors, employees, care provider, and all other persons or entities acting for them from any liability as a result of personal injury or property damage occurring while the above child is in their care I understand that if my child should become inconsolable during the Next Gen, I am required to leave club activity and attend to my child.
______________________________ Signature of Parent/Guardian
_________________________________ Print Name and Date