KAÏ PAPAÏ – Parental consent for children under 18
I, the undersigned,
Mr./Ms. : ……………………………………………………………………………………
Address : …………………………………………………………………………………… ……………………………………………………………………………………………………………………………………………………………………………………………………
Telephone: ………………………………… Cell phone: …………………………………
Hereby authorize my son/daughter : …………………………………………………………………..
to stay at Kaï Papaï from……………………….. to………………………
My child has allergies : yes no
If yes, specify : ……………………………………………………………………………
Since my son/daughter is under 18 year old, I hereby totally release and hold harmless Kaï Papaï’s management and staff with respect to any and all incidents, accidents and assaults that my child might suffer from during his/her stay, on the premises of Kaï Papaï as well as outside. I hereby certify that I am covered by a civil liability insurance which would cover any damage caused by my son/daughter on Kaï Papaï’s premises.
Name of insurance : ……………………………………………………………………………
Name of agent : ……………………………………………………
Telephone : ……………………………………
Address : …………………………………………………………………………………………… ……………………………………………………………………………………………………………………………………………………………………..
Contract Number : …………………………………………
* Any damages which are caused by a child under 18 and which is not covered by the insurance shall be compensated by the parents of the child.
I hereby acknowledge that drinking alcoholic beverages and using other toxic substances is forbidden on the premises of Kaï Papaï. Should my child’s behavior justify such decision, I authorize Kaï Papaï’s management to shorten his/her stay and to call me at any time of night or day.
Made this: …………………………………. At:………………………………
Signature :