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Opening Hours
Monday
9:00am - 11:00pm
Tuesday
9:00am - 11:00pm
Wednesday
9:00am - 11:00pm
Thursday
9:00am - 11:00pm
Friday
9:00am - 11:00pm
Saturday
8:00am - 8:00pm
Sunday
8:30am - 8:30pm
(608) 662-7529
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KEVA FIELD TRIP – ONLINE WAIVER
KEVA Field Trip Waiver
For participants visiting KEVA on Field Trips. REQURIED for all participants.
Step
1
of
7
14%
Field Trip Waiver
Waiver REQUIRED for all field trip participants at KEVA.
Parent Contact Information:
Parent #1 Name
(Required)
First
Last
Email
(Required)
Enter Email
Confirm Email
Cell Phone
(Required)
Home Phone
Work Phone
Parent #2 Name
First
Last
Email
Enter Email
Confirm Email
Cell Phone
Home Phone
Work Phone
Address
(Required)
Street Address
Address Line 2
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State
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American Samoa
Arizona
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California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Emergency Contacts
Please provide at least one emergency contact (other than yourself) in case you aren't available.
Emergency Contact #1
(Required)
First
Last
Cell Phone
(Required)
Relation to Child
(Required)
Emergency Contact #2
First
Last
Cell Phone
Relation to Child
Emergency Contact #3
First
Last
Cell Phone
Relation to Child
Preferred Hospital
(Required)
Child #1
Use your first child's information to complete the following section:
Child #1 Name
(Required)
First
Last
Name of School/Organization
(Required)
Date of Birth
(Required)
MM
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12
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1926
1925
1924
1923
1922
1921
1920
Age
(Required)
<4 Years Old
5 Years Old
6 Years Old
7 Years Old
8 Years Old
9 Years Old
10 Years Old
11 Years Old
>12 Years Old
Gender
(Required)
Male
Female
Non-binary
Gender not listed
Prefer not to answer
Do you have another child attending this field trip?
(Required)
Yes
No
Child #2
Use your second child's information to complete the following section:
Child #2 Name
(Required)
First
Last
Name of School/Organization
(Required)
Date of Birth
(Required)
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
1
2
3
4
5
6
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14
15
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20
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25
26
27
28
29
30
31
YYYY
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
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1995
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1951
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1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Age
(Required)
<4 Years Old
5 Years Old
6 Years Old
7 Years Old
8 Years Old
9 Years Old
10 Years Old
11 Years Old
>12 Years Old
Gender
(Required)
Male
Female
Non-binary
Gender not listed
Prefer not to answer
Do you have another child attending this field trip?
(Required)
Yes
No
Child #3 Information
Use your third child's information to complete the following section:
Child #3 Name
(Required)
First
Last
Name of School/Organization
(Required)
Date of Birth
(Required)
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
YYYY
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Age
(Required)
<4 Years Old
5 Years Old
6 Years Old
7 Years Old
8 Years Old
9 Years Old
10 Years Old
11 Years Old
>12 Years Old
Gender
(Required)
Male
Female
Non-binary
Gender not listed
Prefer not to answer
Assumption of Risk
(Required)
RELEASE, INDEMNIFICATION AND HOLD HARMLESS AGREEMENT.
In consideration of participating in Keva Sports Center, LLC’s programs and activities, and for other good and valuable consideration, I hereby agree on behalf of myself and my children, parents, heirs, assigns, personal representatives and estate, as applicable, to release and discharge from liability, KEVA Sports Center, LLC, (hereinafter “Keva”) and its owners, directors, officers, employees, agents, volunteers, participants, and all other persons or entities acting for them (hereinafter collectively referred to as “Releasees”) as follows:
I acknowledge that participating in Keva’s activities, or acting as an observer of Keva’s activities involves known and unanticipated risks which could result in physical or emotional injury, paralysis or permanent disability, illness, death, and property damage. Risks include, but are not limited to, broken bones, torn ligaments, bruises, pain, or injuries as a result of exercise, physical activity; medical conditions resulting from exercise physical activity, or otherwise; sickness, paralysis, and/or damaged personal property. I understand such risks simply cannot be eliminated, despite the use of safety equipment, without jeopardizing the essential qualities of the activity.
I acknowledge the highly contagious nature of COVID-19, which may be spread through person-to-person contact or through the air, and that I or the registrant may be exposed to or infected by COVID-19 by participation or observation of Keva’s activities. I further acknowledge that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at Keva may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Keva’s employees, volunteers, and program participants and their families. I acknowledge that Keva has put in place preventative measures to reduce the spread of COVID-19; however, Keva cannot guarantee that you or the registrant will not become infected with COVID-19. I agree that I and my children or other guardians, as applicable, will practice good judgement and hygiene during our participation or observation and will notify Keva immediately upone suspicion or confirmation of an infection.
My participation in or observation of these activities are purely voluntary and I elect to participate in, or observe such activity, despite the above described risks. In addition, if at any time I believe that event conditions are unsafe or that I am unable to participate in or observe such activity due to physical or medical conditions, or increased risk of exposure to, or infection of COVID-19, or other diseases then I will immediately discontinue my participation or observation.
I expressly accept and assume: (i) all of the risks as set forth above in Sections (1) - (2); (ii) all of the risks that are inherent in this activity; and (iii) risks that might have been caused by the negligence of the Releasees or otherwise.
I voluntarily release, forever discharge, and agree to indemnify and hold harmless Keva from any and all injuries, claims, demands, causes of action, damages, liabilities, or expenses to myself or my children, or to any of our property, that are in any way connected to my participation in or observation of this activity, or my use of Keva’s equipment or facilities (collectively “Claims”), whether arising from Keva’ s or my own negligence. I understand and agree that this release includes any Claims related to COVID-19 or other diseases based on the actions, omissions, or negligence of Keva, its employees, agents, and representatives, whether a COVID-19 infection or other infection occurs before, during, or after participation at Keva.
Notwithstanding anything to the contrary, this release does not apply to Claims arising from intentional conduct. Should Keva or anyone acting on their behalf be required to incur attorney’s fees and costs to enforce this Agreement, I agree to indemnify and hold them harmless for all such fees and costs.
I represent that I have adequate insurance to cover any injury, illness, or damage I or my children may suffer or cause while participating in this activity, or else I hereby agree to bear the costs of any such injury, illness, or damage myself. I further represent that the participants have no medical or physical condition which could interfere with safety in this activity, or else I hereby assume – and further agree to bear the costs of – all risks that may be created, directly or indirectly, by any such condition.
By providing your contact information, Keva reserves the right to contact you in regards to future programs at Keva and/or to use photos for promotional marketing material for future use. Keva does not sell any personal information to other parties.
With full knowledge of the risks of injury in programs at Keva, I hereby authorize, the following persons to administer emergency medical treatment to the participant, for any injury or other medical emergency while at a practice, game, tournament, scrimmage, or while participating in or attending any other activity: (i) all coaches and managers of my or my child's team; (ii) all officers and officials of Keva’s programs of which I or my child's team belongs; (iii) all directors, officers, sponsors, officials or agents of any league or tournament that the participant may participate in; and (iv) Keva’s staff members. This consent also extends the right to those persons listed above to arrange for immediate medical treatment by a licensed physician and/or other trained medical personnel, and for them to provide such emergency medical care, as they deem appropriate to preserve the life or wellbeing of the participant. The participant and I (if parent or legal guardian) hereby release, hold harmless and indemnify the above-listed persons of any injury or damage related to administration of emergency medical care as authorized herein.
I agree that the laws of Wisconsin shall govern this Agreement and that any dispute arising out of or in connection with my participation in any activity at Keva, shall be exclusively adjudicated in a court of general jurisdiction in Dane County, Wisconsin. I further agree that if any portion of this Agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect.
I acknowledge and further agree that I have had enough time to read this entire Agreement and, should I choose to do so, consult with legal counsel prior to signing. I further acknowledge and agree that: (i) the opportunity to participate in this activity at the stated cost in return for the execution of this release is a reasonable bargain, and (ii) the cost to engage in this activity would need to be significantly greater as unknown liabilities would need to be factored into the price if I were to choose to not sign this Agreement as-is or to bargain for modified terms of this Agreement, therefore, I hereby waive my right to bargain over the terms of this Agreement or abstain.
By acknowledging this Agreement, I agree that I may be found by a court of law to have waived my right to maintain a lawsuit against the parties being released hereunder on the basis of any claim for negligence if during my participation in this activity: (i) I or my children are hurt or our property is damaged; or (ii) I am exposed to, or infected by, COVID-19 or other diseases, (iii) any other claims of damages due to the reasonable execution and participation in Keva programs.
I have read and agree to the above.
Code of Conduct Policy
(Required)
Members who display any of the following behaviors will be asked to leave the KEVA facility immediately. Members who display the following behaviors may be denied future re-entry to KEVA facility as well as program admissions.
• Physical/Verbal abuse used towards others.
• Swearing or use of racial slurs and/or derogatory terms.
• Being under the influence of drugs and/or alcohol.
• Smoking onsite.
• Unnecessary aggression used towards others.
• Intentional damage and/or theft of KEVA property.
One of KEVAs highest priorities is ensuring the proper safety and care of all its childcare program participants. If KEVA Staff suspect a parent/guardian to be under the influence of drugs/alcohol, or witness child abuse, the police will be contacted immediately.
I have read and agree to the above.
Your Name
(Required)
First
Last