Visitor Agreement VISITOR INFORMATION Name(Required) First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d’IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People’s Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People’s Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone EMERGENCY CONTACT Name First Last RelationshipFamily (spouse, parent, child, sibling, etc.)FriendOther (neighbor, coworker, etc.)Phone Acknowledgment of Risks I,I, understand that participating in activities at [Insert Cat Café Name] involves interacting with live animals and engaging in activities that may be inherently risky. I acknowledge the potential risks and dangers that come with interacting with cats, including but not limited to scratches, bites, allergic reactions, and the potential for emotional distress. I also recognize the risks associated with the physical environment, such as slip and fall hazards. Assumption of Risk By signing this document, I voluntarily assume all risks, known and unknown, associated with my visit to [Insert Cat Café Name], including any physical injury, illness, damage to personal property, or other consequences that may arise from my participation in activities or interaction with cats. I assume full responsibility for any and all risks of bodily injury, death, or property damage, whether those risks are known or unknown. Release and Waiver of Claims I hereby release, waive, and discharge [Insert Cat Café Name], its owners, directors, employees, volunteers, and agents (collectively, the “Releasees”) from any and all liability, claims, demands, actions, and causes of action whatsoever, directly or indirectly arising out of or related to any loss, damage, injury, or death, that may be sustained by me or any property belonging to me, while participating in any activity or while in, on, or upon the premises where the activity is conducted, except to the extent caused by the gross negligence or willful misconduct of the Releasees. Indemnification I agree to indemnify and hold harmless the Releasees from any loss, liability, damage, or costs, including court costs and attorney’s fees, that they may incur due to my presence in or upon the premises and my participation in activities, except where such loss, liability, damage, or costs arise from the gross negligence or willful misconduct of the Releasees. Photo and Video Release I grant [Insert Cat Café Name] and its agents the right to photograph, videotape, and record me and to use my likeness in all forms and media for advertising, trade, promotional, and other lawful purposes without review or further compensation. Acknowledgment I have read this Agreement, Waiver, and Release of Liability Form, understand its terms, and understand that I am giving up substantial rights, including my right to sue. I acknowledge that I am signing this waiver freely and voluntarily. The term of this waiver is indefinite and will remain in effect for all future visits to [Insert Cat Café Name]. Under the Age of 18?(Required) Yes No Visitors Signature(Required)HiddenDate MM slash DD slash YYYY Parent/Guardian Name: First Last Parent/Guardian SignatureHiddenDate MM slash DD slash YYYY