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529 Willow Avenue
Hoboken, NJ, 07030
United States


Birthday participant form

Please fill in the form below to join in the super birthday fun!

Child's Name *
Child's Name
Additional Child's Name
Additional Child's Name
Parent's name *
Parent's name
Phone *
Name of caregiver responsible for child(ren) during the party *
Name of caregiver responsible for child(ren) during the party
Is this your child's first experience at Hugs & Bugs Club? *
PRIVACY We wholeheartedly respect you and your child's privacy. We love to share what we do in class because they come with lots of smiles and inspiration! We regularly post pictures and how-to's on social media with hopes of sharing creativity. If at any time you would like to opt out of the picture taking and social media sharing, please let us know as soon as possible. TERMS OF SERVICE Please read the following carefully. I certify that I am the parent/caregiver/guardian of child attending Hugs & Bugs Club class and/or drop off program and agree to the following in relationship to the services that Hugs & Bugs Club provides. I understand and agree to the terms of service. RELEASE AND WAIVER OF LIABILITY. I recognize that there are hazards and risks connected with sensory playgroup. I further recognize that there are hazards and risks connected with various materials, objects and food used for sensory play. I agree to participate or designate a responsible adult to participate with my child throughout his/her Hugs & Bugs Club activities. I understand and agree that in case of an allergic reaction, I am solely responsible for attending to and treating my child. Hugs & Bugs Club does not carry Epipens and as such, I am responsible for obtaining and maintaining, carrying at all times and administering the Epipen if such an event of allergic reaction occurs. Further, I understand that if my child is attending the "Drop off" program, I am responsible for obtaining and maintaining an Epipen for my child, giving written instructions for use, and give permission for staff to treat my child with Epipen device if such an event occurs. I hereby except, release and hold harmless Hugs & Bugs Club, and its officers, agents, employees and volunteers, from any and all claims or causes of action arising out of personal injuries suffered by my child during the course of play. I further acknowledge that the I am responsible for the safety of my child I have brought to the various Hugs & Bugs Club locations/facilities (529 Willow Avenue Hoboken, NJ 07030, Mason Civic League 1200 Washington Street ). I further agree to defend, indemnify and hold harmless Hugs & Bugs Club against any loss, damage or expense incurred by reason of any claim or liability based upon personal injury or property damage arising out of the action of parent/guardian or his/her child. I further acknowledge that Hugs & Bugs Club "classes" are strictly Mommy and Me classes and NOT a “drop-off” class for open play. I acknowledge that an authorized adult over the age of 18 must be present and/or responsible for my child at all times. Outside toys, beverages and/or food must be kept in my stroller or bag in an effort to maintain a safe environment at Hugs & Bugs Club. Caregivers must wear socks and failure to do so results in not attending the class. DROP OFF REGULATIONS AND MEDICAL RELEASE. I understand that drop-off programs provide temporary child-care services and that as the parent of the visitor, I must be reachable at all times. I will pick up my child at the appointed time in accordance with the schedule and I understand there will be an additional fee for late pick-up. In case of emergency or serious illness, I hereby authorize Hugs & Bugs Club to obtain emergency medical care and/or provide emergency medical transportation for my child/children. I give Hugs & Bugs Club permission for my child to be given CPR and first aid treatments. Further, I understand that all medications for emergency care must be provided by the Parent and written instructions must be given prior to beginning the program. I am responsible for obtaining and maintaining an Epipen for my child, giving full written instructions for use, and give permission for staff to treat my child with Epipen device if such an event occurs. I/we, as parent, will be responsible for payment of any medical expenses incurred. I understand that it is my responsibility as Parent/Caregiver to maintain accurate records of file and inform Hugs & Bugs Club of any changes to medical records and information. RULES AND REGULATIONS. I acknowledge that Hugs & Bugs Club operates under rules and regulations established for the safety and protection of its members. Pictures/videos will be taken of the children engaged in the Company’s services. Hugs & Bugs Club and its agents reserve the right to take and utilize photographs, videos, or any type of recordings of participating children and their parents, caregivers, or anyone accompanying them to Hugs & Bugs Club while engaged in our classes or associated activities. I consent to Hugs & Bugs Club use of the photographs, videos, or recordings of my child, me, or the guardian I have designated for advertising, promotional, or related purposes, and waive all rights to compensation and other rights which may arise as a result (including any rights under N.Y. Civil Rights Law 50). I understand and agree that the email address(es) I have provided herein will be added to the distribution list for Hugs & Bugs Club. I will note below if my child’s image should be excluded from use. Hugs & Bugs Club guarantees a full refund if notified 72 hours before the first "Mommy & Me class" begins and 2 weeks before the "Preschool Prep Drop off program" begins. After the first week of the semester has begun, 50% of tuition fees will be refunded for the remaining unattended classes at the time of cancellation. No refunds are given after two weeks. No refunds for missed classes. One make-up class is permitted per session and must be used within 60 days. Make-up classes are permitted during active enrollment, contingent to availability and upon express and specific consent of Hugs & Bugs Club. Makeups cannot be added up or used to prorate another session. All make-ups must be used during active enrollment of a semester. Hugs & Bugs Club reserves the right to cancel classes due to low enrollment. All checks must be made payable to Hugs & Bugs Club for the full amount of the session's fee at the beginning of the first day of class. Your child's spot will not be confirmed in the class until payment and application are received. In the event of a bounced check or insufficient funds a service fee of $25 will be incurred. Facilities, equipment, hours, service, regulations and policies are subject to change from time to time, without prior notice, in the sole discretion of Hugs & Bugs Club with its members enjoyment in mind. I agree to accept such reasonable change(s) as a condition of membership. As parent/guardian, I understand that I am entitled to use the Facility within the scope of the membership that I have selected. I certify that I have read the foregoing Membership Agreement, I acknowledge that I understand and agree to be bound by all of the terms and conditions hereof.
Electronic Signature *
By selecting the "I Accept" checkbox, I am signing this agreement electronically. I agree this electronic signature is the legal equivalent of my manual signature on this agreement. I have read and understand the Waiver/Medical/Publicity Release.
Please type your name below to sign this form.