Sensory World Annual Waiver

If this is your first visit to Sensory World Play Cumbria CIC, please complete the waiver below before attending your session.

The waiver only needs to be completed once unless your contact details, medical information, allergies or support needs change.

If you have previously completed a waiver and your details have changed, please submit a new waiver before your next visit.

Thank you for helping us provide a safe and inclusive environment for all visitors.

Parent / Guardian Full Name

Phone

Child Full Name

Child Date of Birth

Day

Month

Year

Emergency Contact Name

Emergency Contact Number

Does your child have any medical conditions we should be aware of?

Does your child have any allergies?

Photography Consent

Yes, I consent to photos being taken and used on social media platforms

No, I do not consent

I understand that Sensory World Play Cumbria CIC provides a sensory play environment for children and families.

I acknowledge that participation in activities is at my own risk and that I am responsible for supervising the child(ren) in my care at all times.

I agree to disclose any relevant medical conditions, allergies or support needs that may affect participation.

I understand that Sensory World cannot accept responsibility for loss, theft or damage to personal belongings.

I agree to follow all facility rules and instructions provided by staff.

I confirm that the information provided is accurate and complete.

Signature

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I have read and agree to the Sensory World Annual Waiver