The Bounce House

 

A Family Fun Center

For Kids of All Ages

L I A B I L I T Y W A I V E R

 “Extreme Party Toys of Utah, LLC,” Dba The Bounce House Participant Agreement, Release, and Assumption of Risk

 Understanding that all reasonable precautions have been taken to assure that The Bounce House LLC is as safe as possible. I understand that the inflatables and activities at The Bounce House have inherent risks and may result in serious injury, paralysis or death. I further understand that the activities and inflatables will be shared with others over whom The Bounce House has no control; and

I, for myself, and/or as parent, legal (court appointed) guardian or custodian, knowing and freely accept and assume all risks, both known and unknown, and AGREE TO RELEASE, DEFEND,INDEMNIFY, NOT SUE and HOLD HARMELESS The Bounce House, their principles, officers, owners, shareholders, employees, equipment manufactures, sponsors, agents and other participants, from any and all claims, damages, (including medical expenses and attorneys’ fees), injuries (including disabilities, paralysis and death) and expenses arising out of or resulting from my voluntary attendance/participation at The Bounce House, or the voluntary attendance/participation of those for whom I have signed below, and

I, for myself, and/or as parent, legal (court appointed) guardian or custodian, willingly agree to comply with the stated and customary terms, rules, and conditions for attendance, participation, including attending a safety lesson prior to entering the play arena, I warrant and certify that participants are physically fit and able to participate in all activities at The Bounce House if I become aware of or observe a hazard or a potentially dangerous condition during my attendance and/or participation, I will notify the nearest employee immediately.

I, for myself, and/or as parent, legal (court appointed) guardian or custodian,, have carefully read the above participation agreement, assumption of risk acknowledgment and release of liability, hereby agree to be bound by it for myself and for all minor participants listed below, and fully understand its contents. I have the permission from the minor’s family or other responsible party to cover minor under this agreement

In the event that medical attention is needed for myself, or and of the attendees listed below, I grant permission for the basic first-aid and assistance to be administered by The Bounce House staff. In the event that advanced first-aid is required, The Bounce house will call 911 and I authorize for medical care to be administered as required by a trained medical professional. I agree to release The Bounce House from all claims, damages, injuries and expenses arising out of such assistance, including any claims arising from contact needed to administer assistance.

Adult Name: _____________________________________    Adult Signature: ________________________________________________

Emergency Contact: _____________________________       Phone: _____________________________           E-mail _______________________________________________

Relationship to Participant: ________________________________________
Minors:
First Name ________________________ Last Name _____________________ Age ___

First Name ________________________ Last Name _____________________ Age ___

First Name ________________________ Last Name _____________________ Age ___

First Name ________________________ Last Name _____________________ Age ___

First Name ________________________ Last Name _____________________ Age ___

Print this waver and bring it with you when you Come to Play With Us.