{{gravity-field-id-62}}-Brandon Liability


2 of 3 Forms to Sign
(All forms must be signed at the bottom to complete registration)

EMPATHY KIDS, LLC, a State of Florida licensed Child Care Facility, dba KidsPark, provides a fun and safe environment for children. However, in any childcare program, injuries may occur. In order for KidsPark to be able to provide hourly childcare services to you, it is necessary that you assume certain risks. Thus, as a requirement to receive our services, KidsPark is requesting that you sign this release.

  1. I, on behalf of myself, my spouse, and each child designated on the Admission Form Agreement (my "Child"), waive and release all rights, causes of action, and claims against EMPATHY KIDS, LLC, a Limited Liability Company, dba KidsPark, KidsPark Inc., a California corporation, its franchises, and their respective officers, directors, agents, and employees, for any and all loss of or damage to property or injuries suffered by my Child during the time my Child is visiting a KidsPark center, including the possible negligence of KidsPark or its franchises, but excluding gross negligence and intentional misconduct. I understand that the provision of child care contains a risk of injury to persons and damage to property and that by signing this release I engage KidsPark to provide temporary child care for my Child at my own risk. I represent that I am authorized to sign this release on behalf of the child(ren) listed.

  2. I have been given an opportunity to ask questions and obtain answers to my satisfaction regarding any and all aspects of KidsPark and the Release, including, but not limited to, future risks, complications and costs. By signing this Release, I have not relied on any promises or statements made by KidsPark other than those contained in the written information supplied to me by KidsPark.
  3. I understand that this Release will be kept on file at KidsPark and will continue in effect for this and any future visits my Child may make to any KidsPark location.
  4. I give consent for childcare personnel to have access to my child's records.

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Signed by Sonja Castel
Signed On: January 29, 2026


Signature Certificate
Document name: {{gravity-field-id-62}}-Brandon Liability
lock iconUnique Document ID: 8b0e484b851d886c38a16f627ab31ba6331015a6
Timestamp Audit
January 19, 2026 11:02 am PDT{{gravity-field-id-62}}-Brandon Liability Uploaded by Sonja Castel - brandonfl@kidspark.com IP 76.133.233.146