Electronic Activity Waiver - WaiverElectronic

RITZ KIDS
CHILD/YOUTH ACTIVITY PROGRAM RELEASE FORM:
FOR PARENT’S SIGNATURE

In consideration of my child being given the opportunity to participate in the Ritz Kids Program at The Ritz-Carlton Orlando, Grande Lakes I hereby agree as follows:

1.    I am aware, and represent that my child is aware, of the skills needed for, and I recognize, and represent that my child recognizes, the risks of injury or harm that may occur to my child as a result of my child’s participation in the Ritz Kids Program. I assume such risks on my own for myself and my child as a condition of my child’s being permitted to participate in the Ritz Kids Program.

2.    For my child and for myself and for my child’s heirs, successors and assigns, I hereby release and forever discharge The Ritz-Carlton Orlando, Grande Lakes, the owner of The Ritz-Carlton Orlando Grande Lakes, and Marriott International, Inc. and each of their respective subsidiaries and affiliates, and each of their respective officers, directors, shareholders, agents, employees, successors and assigns from any and all actions, costs, suits, demands, claims, damages, losses and liabilities (including reasonable attorney’s fees) of any type or kind whatsoever arising out of or caused by my child’s participation in the Ritz Kids Program.

3.    I hereby agree to indemnify, defend and hold harmless The Ritz-Carlton Orlando, Grande Lakes, the owner of The Ritz-Carlton Orlando, Grande Lakes, Marriott International, Inc. and each of their respective subsidiaries and affiliates, and each of their respective officers, directors, shareholders, agents, employees, successors and assigns from and against any and all actions, costs, suits, demands, claims, damages, losses and liabilities (including reasonable attorney’s fees) of any type or kind whatsoever arising out of or caused by my child’s participation in the Ritz Kids Program.

4.     I am aware that the Ritz Kids Program is designed for children ages 4-12 who must be enrolled in the
Ritz Kids facility during the daily operating hours of 12:00 p.m.-10:00 p.m. I hereby agree that I or the “Others Authorized to Pick Up my Child” listed below will remain on the property of The Ritz-Carlton Orlando, Grande Lakes for the duration of my child’s enrollment in the Ritz Kids Program.

5.    I hereby agree that in the event of delay or late pickup of my child, there will be an additional charge of
$35.00 per child for every (15) minutes beyond the 10:00pm closing time.

First and Last Name: Please enter your name.

Date of Birth: (Valid Age Range: 4 - 12)

Please enter valid date.

Gender: Please select one here.

First and Last Name: Please enter your name.

Date of Birth: (Valid Age Range: 4 - 12)

Please enter valid date.

Gender: Please select one here.

First and Last Name: Please enter your name.

Date of Birth: (Valid Age Range: 4 - 12)

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Gender: Please select one here.

First and Last Name: Please enter your name.

Date of Birth: (Valid Age Range: 4 - 12)

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Gender: Please select one here.

Room No. * Please enter your answer here.

Name Room Is Registered Under * Please enter your name.

What is your check out date? * Please enter your answer here.

Is resort fee applicable? *

Yes

Please select at least one choice above.

Medical Condintions Or Needs You want Property To Know About Please enter your answer here.

Names of Others Authorized To Pick Up Child Please enter your answer here.

Emergency Contact Location * Please enter your answer here.

Phone number: * Please enter your phone number.

Additional Comments Please enter your answer here.

First and Last Name: * Please enter your name.

Your signature *

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Child/Youth Activity/Program Release – Parent’s Signature
Marriott Law Dept. Form - 491273v2
Updated February 2016

Signature Date *

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