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Moon Jumpers Indoor Waiver Form
Child’s Name__________________________________Parent’s Name_______________________________
Party Date__________e-mail address___________________________________________________________ _________________________________(if you would like party discounts or specials e-mailed to you)
Rules and Regulations:
SOCKS REGUIRED
Party limited to Maximum 30 participants.
WAIVER of LIABILITY and INDEMNITY:
I,________________________. at_________________________, ____________________, _____, ________
(Parent/Guardian) (Address) (City) (State (Zip)
Acknowledge that I have voluntarily permitted my child/ward,____________________________(hereafter Participant) and myself to participate in a party or activity at MOON JUMPERS. I AM AWARE THERE ARE RISKS OF SERIOUS PERSONAL INJURY INVOLVED IN PARTICIPANTS USE OF MOON JUMPERS FACILITIES AND EQUIPMENT (INFLATABLES)
I, FOR MYSELF, MY CHILD OR WARD, AND ON BEHALF OF MY HERIS, ADMINISTRATORS, ASSIGNS, PERSONAL REPRESENTATIVES AND NEXT OF KIN, EXPRESSLY ASSUME AND ACCEPT ALL LEGAL LIABILITY AND RESPONSIBILITY FOR ANY AND ALL INJURIES TO PARTICIPANT, WHETHER RESULTING FROM MY NEGLIGENCE, PARTICIPANTS NEGLIGENCE, NEGLIGENCE OF THIRD PARTIES, OR NEGLIGENCE OF MOON JUMPERS.
I FURTHER AGREE TO RELEASE, DEFEND, INDEMNIFY, AND HOLD HARMLESS MOON JUMPERS, ITS OWNERS, AGENTS, AND EMPLOYEES FOR ANY CLAIMS, INJURIES, DAMAGES, OR LAW SUITS OF WHATEVER NATURE, ARISING OUT OF PARTICIPANTS ATTENDANCE AT A PARTY OR ACTIVITY AND/OR USE OF MOON JUMPERS EQIPMENT.
I HAVE CAREFULLY READ THIS AGREEMENT AND RELEASE OF LIABILITY AND FULLY UNDERSTAND ITS CONTENTS. BY SIGNING THIS AGREEMENT AND RELEASE, I AGREE TO ALL OF THE ABOVE TERMS AND CONDITIONS.
No child will be admitted unless a parent or guardian signs this contract.
Signed:_________________________________Print Name:___________________________________
Date:_______/______/__________
Phone number in case of emergency:________________________________________
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