House of Bounce
​Kids Birthday Party Places & Celebration Center

House of Bounce

ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM

Event:_____________________Date of Event:__________________


PLEASE READ CAREFULLY AS THIS IS A LEGAL DOCUMENT

I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors and organizers of the activity or event in which I may participate or attend, and that it will govern my actions and responsibilities at said activity or event.

I HEREBY ASUME ALL OF THE RISKS OF PARTICIPATING AND /OR VOLUNTEERING IN THIS ACTIVITY OR EVENT, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by the them, or because of their possible liability without fault.  I certify that I am physically fit and capable for participation in the activity or event.  I certify that there are no health related reasons or problems which preclude my participation in this activity or attendance at this event.  In consideration of my application and permitting me to participate in this event, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows:

I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to liability arising from the negligence or fault due to  the entities, staff, volunteers, event holders and facilities including all  persons involved during my participation shall be released, for any and all  injuries I may encounter including but not limited to disability, personal injury, blindness, deafness, loss of limb or dismemberment, penalization, loss of consciousness, or even death,  property damage, or actions of any kind which may hereafter occur to me, including any and all injuries caused my own actions or behavior during my participation.  I acknowledge that photographs of my child/children may be made during participation at this event and that these photographs may be used for advertisement purposes. 

I INDEMNIFY, HOLD HARMLESS, AND AGREE AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of attendance and or participation in this activity or event, whether caused by the negligence of release or otherwise.  I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this event.  The Accident waiver and release of liability shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.

I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT.  I AM AWARE THAT THIS IS A RELEASE OF LIABILITY UPHELD TO THE MAXIMUM EXTENT THE LAW ALLOWS AND I SIGN IT OF MY OWN FREE WILL. I FUTHER ACKNOWLEDGE I AM THE PARENT OR LEGAL GUARDIAN OF THE UNDER AGED CHILD PARTICIPATION IN THE ABOVE NAMED EVENT AND I DO HEREBY CONSENT TO THE CHILDS PARTICIPATION IN THE EVENT AND AGREE TO THE TERMS OF THE ACCIDENT WAIVER AND RELEASE OF LIABILITY SET FORTH ABOVE.  THE UNDERSIGNED PARENT OR GUARDIAN FURTHER AGREES TO SAVE AND HOLD HARMLESS AND INDEMNIFY EACH AND ALL OF THE PARTIES REFERRED TO ABOVE FROM ALL LIABILITY, LOSS, COST, CLAIM, OR DAMAGE WHATSOEVER WHICH MAY BE IMPOSED UPON SAID PARTIES BECAUSE OF ANY DEFECT IN OR LACK OF SUCH CAPACITY TO SO ACT AND RELEASE SAID PARTIES ON BEHALF OF THE MINOR AND THE PARENTS OR LEGAL GUARDIAN.



Print Participant’s / Attendants Name                       Age                       Signature of Parent or Guardian          Date

__________________________________________                     __________             ___________________________________             ___________


PLEASE READ CAREFULLY AS THIS IS A LEGAL DOCUMENT


Printable Version Below: