By providing my phone number and email address, I agree to receive text messages and email from THE MAINSTAY FOUNDATION

I, the registrant above, hereby give my full consent for my child(ren) to use the sensory room operated by The Mainstay Foundation (“Mainstay”).

I acknowledge that participation in sensory room activities may carry certain risks, including but not limited to the possibility of minor injuries, allergic reactions, or emotional discomfort. I understand that every reasonable effort will be made by Mainstay staff to ensure a safe and supportive environment.

I acknowledge and accept full responsibility for my child’s participation. I authorize Mainstay staff to obtain emergency medical treatment for my child if deemed necessary and I agree to assume all financial responsibility for such treatment.

I agree to waive and release The Mainstay Foundation, its employees, volunteers, and agents from any and all claims, liabilities, causes of action, or damages that may arise out of or in connection with my child’s participation in sensory room activities.

I understand that photographs or videos may be taken during the use of the sensory room and may be used for educational, promotional, or marketing purposes. I give my consent for my child to be included in such media. I understand that my child’s name may be used unless I notify Mainstay in writing to request otherwise.

I acknowledge that I have the legal authority to sign this waiver on behalf of my child due to their special needs and/or minor status. I have read and fully understand this waiver and release of liability and agree to its terms.