Party Lane Release Form


We require parents/guardians to complete a Release Form for each minor child who plays at Party Lane. Parents/guardians can complete the form online by downloading our form or by filling in the form below completely. Forms are also available at Party Lane. 

PLEASE NOTE: All completed forms will be kept on file for future playdates.

For a downloadable PDF that you can print and complete by hand, please click here.
This form may be brought with you to Party Lane or emailed to partylanepa@gmail.com


Parent/Guardian Name: *
Parent/Guardian Name:
Please send me the Party Lane Newsletter with special offers, event information, contest details, and more.
Phone *
Phone
Address
Address
Photo Release
I do authorize Party Lane to use photographs of my child/guardian for promotional purposes which may include online, print and advertisements. *
Signature/Authorization
By clicking "Submit," I affirm that neither Party Lane and its associates shall be liable to you, your children, or other third party for any loss, cost, damage or other injury, whether in contract, tort, negligence, strict liability, or otherwise, arising out of or in connection with participation in Party Lane’s open play, parties or events. Under no circumstances shall Party Lane be liable to you, your child/children or any third party for any indirect, consequential, incidental, punitive, special or similar damages or costs. *