Child's Name ___________________________Parent's Name___________________________
Party Date ____________Time _____________ E-Mail Address: ______________________
Rules and Regulations
Socks Required
No Drop Offs
No Flipping
No Wrestling
WAIVER OF LIABILITY and INDEMNITY:
I, ______________________________, parent/guardian of _______________________(child/ward) City:__________________ State:__________Zip:_____________,
acknowledge that I have voluntarily permitted my child/ward, ______________________(hereafter Participant) to participate in a party or activity at MOONJUMPERS.
I AM AWARE THERE ARE RISKS OF SERIOUS PERSONAL INJURY INVOLVED IN PARTICIPANT'S USE OF MOONJUMPERS' FACILITIES AND EQUIPMENT (INFLATABLES).
I, FOR MYSELF, MY CHILD OR WARD, AND ON BEHALF OF MY HEIRS, 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 NEGLIGNECE PARTICIPANT'S NEGLIGENCE, NEGLIGENCE OF THIRD PARTIES, OR NEGLIGENCE OF MOONJUMPERS.
I FURTHER AGREE TO RELEASE, DEFEND, INDEMNIFY, AND HOLD HARMLESS MOONJUMPERS, ITS OWNERS, AGENTS, AND EMPLOYEES FOR ANY CLAIMS, INJURIES, DAMAGES OR LAWSUITS OF WHATEVER NATURE, ARISING OUT OF PARTICIPANT'S ATTENDANCE AT A PARTY OR ACTIVITY AND/OR USE OF MOONJUMPERS EQUIPMENT.
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: ___________________