Registration form

I, __________________________________________________________________________

(Full name, registration and residence address, contact number)

_______________________________________________________________________________ ,

_______________________________________________________________________________

fully and unconditionally accept the terms of the Public Offer Agreement on the Full Range of Services of the GALAXY Family Entertainment Park dated 28 November 2016 and agree with all provisions of the above Agreement and the Family Entertainment Park Visiting Rules set forth therein and available in the User’s Zone in the Family Entertainment Park, and undertake to consistently comply with the provisions as well as to acquaint the minors indicated herein with the same, and take absolute responsibility for myself and minors indicated below and accompanied by me:

Full name of the child: _________________________________________________,age_____________

I hereby confirm that I fully and unconditionally accept the Public Offer by payment for any Family Entertainment Park’s service and acquisition of the Electronic Card being the payment instrument that gives me the right to use the Park’s Services.

I hereby confirm the possibility of forced termination of rendering the GALAXY Family Entertainment Park services and use of its equipment in the event of unlawful behavior, actions and/or omission which violate public order, violation of the Family Entertainment Park Visiting Rules and/or the Agreement.

I hereby confirm that I have all rights and permissions from the parents/guardians to accept the Public Offer on behalf of the minors mentioned in this Written Undertaking and shall be responsible for their health and life in full, as well as for the damage caused by them to the Family Entertainment Park.

I hereby undertake to comply with the Rules of Conduct and Safety throughout the Family Entertainment Park, Attraction User Guides specified in the Instructions at the entrance to each attraction, and to ensure compliance with these Rules and Instructions by the minors mentioned herein.

I hereby give my consent to the processing of personal data of those who are referred to herein according to Law of Ukraine “On Personal Data Protection” No. 2297-VI dated 01.06.2010 as amended.

The data indicated herein are deemed obtained from the public sources.
This Written Undertaking is an integral part of the Public Offer Agreement on the Full Range of Services of the GALAXY Family Entertainment Park dated 28 November 2016.

Date and time of the Family Entertainment Park visiting: _____.______.20____ at _____:_____

Person’s / accompanying person’s signature:__________________________ (_______________)