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Raising a Special Needs Child
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Registration Form
First Time Visitors to Diddalidoo are REQUIRED to complete a ONE-TIME Registration Form.
Thank you for your help.
If you are human, leave this field blank.
Parent/Guardian Name
*
Contact Phone Number
*
Child/Participant Name & Date of Birth
*
Child/Participant #2 Name & Date of Birth [optional]
Street Address
*
e.g., "123 Main St"
City, State and Zip Code
*
e.g., "Anytown"
Email Address
*
To opt out of receiving special offers, promotions, and special event updates, please type "opt out" below:
How did you hear about Diddalidoo?
Friend
Birthday Party Guest
Online Marketing (please specify)
Mother's Club (please specify)
Other (please specify)
How did you hear about Diddalidoo?
By signing below, you are confirming to the following:
Any photos or videos taken by Diddalidoo may be used for marketing, including, but not limited to print and social media. If you do not wish to be included in photos or video, please notify staff at time of photo/video session. By registering to participate at Diddalidoo, LLC (“Diddalidoo”), the undersigned agrees to the following Release and Waiver of Liability, Assumption of Risk, And Indemnity Agreement (“Agreement”): In consideration of being allowed to enter the Play Center and/or participate in any activity, event, party, and/or program at Diddalidoo, the undersigned, on his or her behalf, and on the behalf of the participant(s) identified above, acknowledge, appreciates and agrees to the following conditions: I represent that I am the parent or legal guardian of the participant(s) named above, or I have obtained permission from the parent/legal guardian of the participant(s) named above to execute this Agreement on their behalf. I agree that the participant(s) named above are qualified, in good health, and in proper physical condition to participate in such activity. I agree that the participant(s) named above and I shall comply with all Diddalidoo Rules and Regulations, posted safety signs, and Diddalidoo employee instructions as conditions for participation in any activity, event, party and/or program at Diddalidoo. If I, or the participant(s) named above believe an activity/event condition is unsafe, participant(s) shall immediately discontinue participation in such activity/event. In addition, if I observe any hazard during our participation, I will bring it to the attention of the nearest Diddalidoo employee immediately. I agree that I am aware that there are inherent risks (including possible serious injury or death) associated with participation at Diddalidoo Play Center, equipment, programs, event and/or parties, and I, on behalf of myself and the participant(s) named above, knowingly and freely assume all such risk, both known and unknown, including those that may arise out of the negligence of Diddalidoo or other persons; and I, for myself and the participant(s) named above, and our respective heirs, assigns, administrators, personal representatives, and next of kin, hereby release and agree to hold harmless, Diddalidoo, LLC, its affiliates, officers, members, agents, employees, other participants, and sponsoring agencies from and against any and all claims, injuries, liabilities, damages and expenses (including costs and reasonable attorneys’ fees) arising out of or related to the undersigned and participants in any and all Diddalidoo programs, activities, events, parties, the use of the Play Center and/or equipment.
Your Signature
*
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Today's Date
Are you attending a birthday party? If so, please let us know the date and time of the party:
Birthday Party Date
Birthday Party Time
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Our Center
Please check calendar for Open Play hours.
FEATURES:
• 3 Play Areas
• Infant, Toddler & Interactive Open Play
• Cafe
Adult Supervision required. Children must be supervised by an adult 18 and older.
Socks Required
Socks are required by adults and children of any age in ALL play areas.
No Shoes or Bare Feet allowed in play areas. This will be strictly enforced.
(Socks are available for purchase.)
Contact Us
How To Find Us
Diddalidoo
544 San Mateo Avenue
San Bruno, CA.
(650) 741-9065
Site Design & Management - Intersect Marketing
