That Bounce Place LLC
Waiver

Thursday, July 27, 2017 (07-27-2017)
WaiverID: B9068B07272017


Please select a location you will be visting: 


As consideration for being allowed to enter this play area and/or participate in any party and/or program at That Bounce Place the undersigned, on his or her behalf, and on the behalf of the Participant(s) identified below, acknowledges, appreciates, understands, and agrees to the following:

1. I represent that I am the parent or legal guardian of the Participant(s) named below or I have obtained permission from the parent/legal guardian of the Participant(s) named below to execute this agreement on their behalf.

Bouncers
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2. I acknowledge and understand that there are risks associated with participation in activities at That Bounce Place and the use of play area and inflatable equipment including, but not limited to contusions, fractures, scrapes, cuts, bumps, paralysis, or death.

3. I, for myself and the bouncer/participants named, willingly assume the risks associated with participation and accept that there are also risks that may also due to OTHER PARTICIPANTS which I also willingly assume.

4. I agree that the Bouncer/Participant(s) named, and I shall comply with all stated and customary terms, posted safety signs, rules and ventral instructions and conditions for participation in any party and/or program at That BOUNCE Place.

5. I for myself, the bouncer/participant(s) name, our heirs, assigns, representatives, and next of kin agree to hold harmless and indemnify the independent owner That BOUNCE Place LLC, their predecessors, parent, subsidiaries and affiliates, officers, and employees from any and all injuries, liabilities or damages from participation.

6. I additionally agree to indemnify the independent owner of That BOUNCE Place LLC, their predecessors, parent, subsidiaries and affiliates, officers, and employees for any defense cost or expense arising from any and all claims, injuries, liabilities or damages arising from participation.

7. I am of physical ability to participate and am legally competent to understand and complete this agreement, I hereby execute this agreement without coercion.

Participant Parent/Guardian:






Electronic Signature:

Please re-type your First and Last name EXACTLY as they appear (case matters) under Participant Parent/Guardian.

I, am of physical ability to participate and am legally competent to understand and complete this agreement, I hereby execute this agreement without coercion.