Get Set Grow Community Playtime Sign Up
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Date of Play Time *
Child's Name *
Child's Date of Birth:  *
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DD
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Parent Name *
Parent Phone Number *
Emergency Contact Person (Besides Person Attending) *
Emergency Contact Phone Number *
Safety Policy:  I agree to abide by safety rules including paying close attention to my child while using equipment.  I will abide by posted rules for my child's safety.

1.  Only one child allowed on a swing at a time.  Please pay attention to your child while swinging to ensure the safety of your child and anyone in area.

2.  No food or drink in gym area.

3.  Return all equipment to location at end of gym time.


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Get Set Grow Therapies, LLC is not responsible for supervision or use of equipment during play time.  Participating individual agrees to use equipment as designated.  Get Set Grow Therapies, LLC is not liable for any injury that occurs due to performance on equipment or misuse of equipment at any time.  Get Set Grow Therapies, LLC is not responsible for any physical injury that occurs at any time while on the premises.   *
Please type your name indicating understanding and agreement to rules. *
Payment Method *
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