Waiver form

MARK THE ONE CHECKBOX AND SIGN THE END OF THIS DOCUMENT BEFORE SIGNING.

Before participating at ‘Sensation - the Sensory Gym,’ all participants must register to participate by completing the form below. Participants under the age of 18 must have the form completed by a parent, legal guardian or caregiver.

ON BEHALF OF THOSE UNDER 18 YEARS OLD (INCLUDING VULNERABLE ADULTS)

I am the parent, guardian, or caregiver of the child/children/vulnerable adult listed who is/are under 18 years of age (or is over 18 years of age but considered vulnerable).

I consent to allow that/those child/children/vulnerable adult to participate in ‘the Activities’ (collectively hereinafter called ‘the Activities’) including but not limited ‘Sensation - The Sensory Gym’ - the scooter boards and scooter board ramp, monkey bars, ninja rings, footbridge, roller slide, trampolines, tunnel, swings, space hoppers, gym and peanut balls, balance beam, the sensory lights room, the interactive projector mat, and all other activities organised by Sensation – The Sensory Gym within 12 months of the date of completion of this form.

I declare that if I am not the parent, guardian, or caregiver of the child/children/vulnerable adult, I have authority from their parents, guardian, caregiver to sign this risk acknowledgement form.

I acknowledge the risk on their behalf. I confirm that I am responsible for the safety of the child/children/vulnerable adult in my care and take responsibility to ensure that they undertake ‘the Activities’ in accordance with the safety rules made available to them prior to participation and the advice given in the pre-participation safety briefing, together with any oral instructions or advice given to me prior to or during the session.

I agree to ensure the child/children/vulnerable adult always wear socks whilst participating in ‘the Activities’ and walking on the soft mats surrounding them.
I agree to ensure the child/children/vulnerable adult remove badges, jewellery and any other loose items before participating in ‘the Activities.’

I agree to ensure the child/children/vulnerable adult do not take sharp objects into The Sensory Gym.

I agree to ensure that a child/children/vulnerable adult who wears spectacles/glasses and are participating in ‘the Activities’, that they have a retainer and shatterproof lenses.

I acknowledge that it has been recommended that the child/children/vulnerable adult wears long sleeves and trousers to avoid friction burns when participating in ‘the Activities,’ to wear socks at all times and that loose clothing should always be tucked in. Clothes with ropes, cords and ribbons should not be worn for risk of entanglement or entrapment.

I agree to ensure the child/children/vulnerable adult do not play in front of the slides’ exits and do not climb up the slides or on any of the netted walls or the system structure.

I agree to ensure the child/children/vulnerable adult do not to take food, drink or chewing gum into The Sensory Gym. I agree to ensure the child/children/vulnerable adult do not overheat and will provide fluids to ensure their safety and well-being.

I acknowledge that I am responsible for the safety and supervision of the child/children/vulnerable adult named in this waiver, and the safety of our possessions.

I acknowledge that Sensation do not provide supervision of children/vulnerable adults whilst using the premises or if left unattended on the premises.

I will ensure that I supervise the child/person named in this waiver at all times.

I certify that to the best of my knowledge the child/children/vulnerable adult is/are in good physical condition and do not have any medical condition which might have the effect of making it more likely that they be involved in an incident which could result in injury to themselves or others. If in any doubt, please check with the child’s/ children's/vulnerable adult’s parents, guardian or caregiver.

I certify that to the best of my knowledge the child/children/vulnerable adult have no pre-existing medical conditions which could, through participation in ‘the Activities,’ result in injury to them or damage to their health.

I certify that to the best of my knowledge the child/children/vulnerable adult is/are not pregnant.

I acknowledge that the maximum permitted weight for participation in ‘the Activities’ (excluding the cuddle swing, whizzy dizzy, scooter boards, trampolines and tyre bouncer)’ is 14 stone/90kg and confirm that the child/ children/vulnerable adult do not exceed this weight. I acknowledge that the recommended weight for the cuddle swing is 12.5 stone/80kg, the Whizzy Dizzy is 7 stone/45kg, the Tyre Bouncer is 31.5 stone/200kg, the scooter boards are 12.5 stone/80kg and the trampolines 15 stone/100kg. The child/children/vulnerable adult use the equipment at their own risk.

I acknowledge that it is my responsibility to assess the suitability of ‘the Activities’ for children in my care. I am aware that certain activities are age and/or ability restricted, and I will ensure that the child/children/vulnerable adult in my care is/are advised and supervised accordingly.

I understand the scooter boards and scooter board ramp, monkey bars, ninja rings, swing bridge, roller slide, trampoline, tunnel, swings, space hoppers, gym and peanut balls, balance beams, have been designed for those aged 4 and over, and if I allow children younger than 4 years old to participate in these activities, I do so at my own risk and I am responsible for the safety of the child at all times.

I understand that the Activities are used by multiple age groups at the same time.

I acknowledge that it is my responsibility to read the individual safety signs around the play area and ensure that the child/children in my care adhere to these rules. These rules are for everyone’s safety and Sensation does not accept any responsibility for any breach of these rules.

I agree that I will not attempt to use any of the equipment or participate in ‘the Activities’ whilst accompanying the child/children/vulnerable adults unless: I am a registered participant; I have signed a risk acknowledgement and waiver form as a participant in ‘the Activities’; I am aware of and have agreed to undertake ‘the Activities’ in a safe manner, together with any oral instructions or advice given to me prior to or during the session.

I understand that the scooter board area, the roller slide, the trampolines, the tunnel, the balance beam, the monkey bars, ninjas rings and swings, are not fully enclosed or without segregation/barriers to allow for the free movement around the area.

I understand that ‘the Activities’ are used by multiple age groups at the same time and are not restricted to any one age group unless specified.

I understand that ‘the Activities’ can be physically demanding and involve jumping and other strenuous actions sometimes involving height, speed, and unpredictable surfaces.

I understand that ‘the Activities’ are a high impact, full body activity which requires intense focus, awareness of my body strengths and limitations, awareness of the environment around me, and to be under extreme caution at all times.

I acknowledge that ‘the Activities’ are dangerous and there is a risk of personal injury when undertaking such activities and participation can result in serious injury or death.

I acknowledge that participation in ‘the Activities’ can result in personal injury including, but not limited to, friction burns, cuts, abrasions, bruising, muscle strains, twists, sprains, dislocation, broken/fractured bones and paralysis, and accept that these injuries can occur through general use of the equipment and not always or necessarily as a result of defective equipment or negligence of Sensation.

I acknowledge and accept that ‘the Activities’ require a moderate level of fitness and can be physically demanding and require physical effort and I/ he/she/they should not undertake the activities unless I/he/she/they is/are physically able to. In the unlikely event of an accident or loss or damage to any personal effects, I acknowledge that Sensation will not be liable for any direct or indirect loss, damage or injury arising from or in connection with ‘the Activities’ (except the death or personal injury caused by the Company’s negligence) and I waive all and any claims against Sensation in this respect.

I acknowledge and accept that CCTV images of all entrants will be monitored and recorded throughout the premises for the purposes of public safety and crime prevention.

I acknowledge that I (and the child/children/vulnerable adults in my care if applicable) have been provided with safety rules and advice from Sensation in relation to ‘the Activities’ and that I have read and fully understand the above and accept the terms of participation freely and voluntarily without any inducement prior to signing/submitting this form.

I understand and accept that the Sensation team members may take photos and videos which will be shared on our social media pages and may be used for promotional content and this will happen only with my written consent and permission.


I ACKNOWLEDGE THAT ALL INFORMATION I HAVE PROVIDED FOR EACH PARTICIPANT IS TRUE TO THE BEST OF MY KNOWLEDGE AND THIS WAIVER WILL BE LEFT VOID IF FALSE INFORMATION IS PROVIDED.

Food and drink: No alcohol on the premises. Only food and drink purchased from Sensation may be consumed on the premises, with the exception of baby products, food and drink for users with allergies or those with restrictive eating. This must be brought to the manager's attention before food and drink is consumed.

In the interest of health and safety, please ensure that any food debris which falls on the floor is picked and wiped up as soon as possible and report any spillages to a member of staff.

Sensation encourages its users to play and explore in a safe and stimulating environment. As such there are inherent risks that are always associated with playing and having fun together. We have taken every reasonable step to control these risks through the design, maintenance and operation of our facility. It is however impossible to eliminate such risks completely whilst providing a stimulating environment and parents, guardians, caregivers must recognise and accept these risks.

It is forbidden to smoke or vape within the building.

Anyone who is unwell or has been unwell must not visit Sensation for a period of 48 hours after the last occurrence. Anyone who becomes unwell must leave immediately. When using the toilet, users must wash their hands before re-entering the play areas.

Report all accidents to a member of staff to ensure that we can provide any necessary assistance and minimise the potential of reoccurrence. These will be logged and are an important part of ongoing safety audits.

All damages to Sensation property either accidental or deliberate must be reported to a member of staff.

Nappy and pad changing and the use of potties etc should be conducted in the baby or toilet and changing areas provided. Please place waste in the correct bins provided.

Abusive or aggressive behaviour including inappropriate behaviour towards any member of staff or the public will not be tolerated. Any customer found breaching any of these rules may be asked to leave. Management reserve the right to refuse entry.

I confirm that all participants and supervising adults have watched Sensation Safety Briefing Video and are aware of all guidelines and rules.

Video coming soon.