Group Name (if applicable)
Select Group (If Applicable)
Ffa
Larry Larry cossio
Mack family
Name of Adult - Must be at least 18 years of age
Contact Information
Address
DOB
Drivers License
DL State
How many children do you need to add to this waiver?
None
1 child
2 children
3 children
4 children
5 children
6 children
7 children
8 children
Waiver
PARTY ON AIR XTREME INFLATABLES, LLC
RULES and SAFETY INSTRUCTIONS
In consideration of being allowed to enter into the play area and to participate in any activities, parties or programs at Party on Air Xtreme Inflatables, hereinafter referred to as “Party on Airâ€Â, I, on my own behalf and on behalf of my child(ren) and/or ward(s) identified herein and hereinafter referred to as my “minor child(ren)â€Â, acknowledges, appreciates and agrees that I, myself an
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, AND I FULLY UNDERSTAND ITS TERMS, AND UNDERSTAND THAT I HAVE GIVEN UP LEGAL RIGHTS BY SIGNING IT AND SUBMITTING THIS FORM, AND I AM SIGNING IT AND SUBMITTING THIS FORM FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
IP: 3.22.249.158
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