Waiver Form on behalf of Bouncing Around Indoor LLC

I, the undersigned understand and acknowledge that play on an amusement device entails
both known and unknown risks including but not limited to; physical injury from falling.
slipping, crashing or colliding, emotional injury, paralysis. distress. damage or death to
any participant. I hereby voluntarily and expressly release, indemnify, forever discharge
and hold harmless Bouncing Around Indoor LLC from any and all liability, claims,
demands, causes or rights of action whether personal to me or to a third party, which are
in any way contacted with participation in this activity, including those allegedly
attributable to negligent acts or omissions. Should Bouncing Around Indoor LLC or
anyone acting on behalf of Bouncing Around Indoor LLC be required to incur attorney's
fees and costs to enforce this agreement, I expressly agree to indemnify and hold
Bouncing Around Indoor LLC harmless for all such fees and costs. In the event I
the undersigned or any of my participants file a lawsuit against Bouncing Around Indoor LLC
it is agreed to do solely in the State of Nevada. I agree that if any portion of this
agreement is found to be void or enforceable, the remaining portions shall remain in
full force and effect. In consideration of being permitted by Bouncing Around Indoor LLC
to use its equipment and facilities, the undersigned and it participants agree to indemnify
and hold harmless Bouncing Around Indoor LLC from any and all claims which are
brought by the undersigned and all their participants and which are in any way connected
with such use or participation.
    A set of Rules and Direction are either displayed on the bounce house/units or have
been provided to the undersigned which I agree to follow and utilize at all times during
operation and use of the units.
    I the undersigned. acknowledge and certify that I have had sufficient opportunity
to read the entire Rental Agreement and Acknowledgement of Risks. I understand it's
content and that I shall execute it freely without distress of any kind and agree to the terms
herein stated.
 

________________________________________                 ___________
Signature  of parent                                                                                Date
 

________________________________________                 ___________
If under 18, signature of parent or guardian                        Date
 

PRINT CHILD'S NAME
__________________________________________________AGE ________
PRINT CHILD'S NAME __________________________________________________AGE_______
PRINT CHILD' NAME ___________________________________________________AGE________
PRINT CHILD'S NAME __________________________________________________AGE________

PHONE NUMBER_________________________
EMERGENCY CONTACT__________________ (CELL ,GRANDMA , DAD, ETC)

ADDRESS_______________________________________________
_____________________________________________________________
_____________________________________________________________

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