CHILDREN ENTERTAINMENT SPACE „DŽIAUGSMOTEKA”

 Consent

One of the Child’s parents/other legal representative of the Child or an adult authorised by the Child’s parents/other legal representatives to accompany the Child (hereinafter referred to as the „Person Responsible for the Child”), by signing this Consent, confirms that:

1. Has read and familiarised himself/herself with the Rules of the Children’s Entertainment Space „Džiaugsmoteka” (hereinafter referred to as the „Children’s Entertainment Space”) (hereinafter referred to as the „Rules”), understands and agrees with them. He/she has also read the Rules of the Children’s Entertainment Space to the Minor Child(ren) named in this Consent (hereinafter referred to as „the Child”) whom he/she is admitting to the Children’s Entertainment Space either alone or who will be present in the Children’s Entertainment Space together with the Person Responsible for the Child.
2. Has read, understood and agreed to the Children’s Entertainment Space Privacy Policy.
3. Acknowledges that he/she is aware that the Children’s Entertainment Space Rules and the Children’s Entertainment Space Privacy Policy are publicly available in the Children’s Entertainment Space and on the website located at www.dziaugsmoteka.lt (hereinafter referred to as the „Website”).
4. Undertakes to comply properly with the Rules and to ensure that they are complied with by the Child, and accepts full responsibility for non-compliance with the Rules, including, but not limited to, liability for damage caused by the Child to the Child and to third parties.
5. The Child agrees that in the event of the Child’s failure to comply with the Rules, the entire liability shall be borne by him/her as the Person Responsible for the Child and understands that„Džiaugsmoteka, UAB“, registered office 305102859, address Karaliaus Mindaugo ave. 49, Kaunas (hereinafter referred to as the „Operator”) shall not be liable for the occurrence of, or indemnification for, any damages arising out of the Child’s reckless, dangerous behaviour or other failure to comply with the Rules.
6. The Operator has adequately assessed the services, facilities, environment, his/her own and the Child’s abilities and possibilities to visit the Children’s Entertainment Space and understands that the Children’s Entertainment Space contains activities, entertainment and equipment for children of all ages from 1 to 14 years old, and ensures that the Child will use the Children’s Entertainment Space’s activities, entertainment and equipment in an age-appropriate manner for the age of the Child.
7. A Child admitted to the Children’s Entertainment Space shall not have any medical or other condition which may cause adverse consequences or safety and health risks to him/her and/or third parties in the Children’s Entertainment Space.
8. Is informed and consents to the collection and processing of the personal data referred to in this consent for the purpose of visiting the Children’s Entertainment Space. The data will not be transferred to third parties and/or used for marketing purposes without the prior consent of the visitor. For more detailed information on the processing of personal data, please refer to the privacy policy published on the Website.

Kaunas, apsilankymo sutikimas anglų k.

"(required)" indicates required fields

Name

This field is for validation purposes and should be left unchanged.

Date(required)

YYYY dash MM dash DD

Data of the Child (Children) visiting the Playroom:(required)

!! If you want to add more children who will visit the room, press the plus sign at the end of the row.

Name

Surname

Age

 

Add Remove

Data of the person responsible for the Child (tick the applicable):(required)

Parent / guardian / foster parent

Other adult authorised by parents / guardians / foster parents

Please specify (e.g. relative, friend, teacher, supervisor, etc.)(required)

Contact details of parents/responsible person(required)

Name, surname

Phone(required)

Children under the age of 4 can visit the entertainment area only with a person responsible for the child

Select the appropriate option #1(required)

The Child (Children) will stay at the Children Entertainment Space on his/her (their) own, without supervision of the person responsible for the Child (if the ‘I agree’ response is encircled, the person responsible for the Child assumes all related risks and responsibility and is held responsible for Child’s behaviour at the Children Entertainment Space; the person responsible for the Child understands that the Economic operator provides exclusively services of children’s entertainment organisation but not regular childcare or educational services, further understands that the Economic operator is not responsible for Child’s supervision and any damage; before leaving the Child at the Children Entertainment Space, the person responsible for the Child must satisfy herself/himself that the Child’s physical and psychological condition allows her/him to stay at the Children Entertainment Space on her/his own and play there together with other Children; any negative consequences related to default of this duty fall on the person responsible for the Child who left the Child in the Children Entertainment Centre):

I agree

I disagree

Select the appropriate option #2

I agree and allow the other adult, i.e. one of parents, other lawful representative of the Child or adult authorised by Child’s parents / other lawful representatives of the Child, to collect the Child (Children) from the Children Entertainment Space /// If you yourself collect the Child (Children) from the Children Entertainment Space or stay at the Children Entertainment Space together with the Child (Children), omit this question).

I agree

I disagree

Contact details of second responsible person(required)

Name, surname

Phone(required)

Validity duration(required)

This consent is valid for the Child’s (Childrens’) visit to the Children Entertainment Space exclusively on this day.

This consent applies to all visits by the Child(ren) to the Children’s Entertainment Area up one year after last visit.

Enter the date(required)

YYYY dash MM dash DD

Processing of personal data for the purposes of direct collection(required)

Do you agree to receive information and promotional materials related to the services provided by the Operator and partners. More detailed information on how the Operator processes personal data is provided in the Privacy Policy, published on the website at the address www.dziaugsmoteka.lt

I agree

I disagree

Email

Your name, surname(required)

Signature(required)

I hereby confirm that all the data and information provided by me in this consent is true and assume full responsibility for any false information provided.