Group Name (if applicable) Select Group (If Applicable)

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

" Rental Agreement and Liability Waiver It is the responsibility of the person(s) or organization renting this inflatable equipment to ensure that all possible precautions are taken to avoid injury to people or damage to the inflatable. Please ensure the following safety instructions are followed: 1) No food, drink, or chewing gum on or around the Inflatable. This will reduce the likelihood of choking in addition to keeping the unit clean. (Please note. If the Inflatable is collected in a dirty condition, the individual renting the unit will incur a cleaning charge) 2) Shoes, glasses, jewelry, and badges MUST be removed before using the inflatable to avoid injury to people using the equipment and damage to the Inflatable. 3) NO face paints, party poppers, colored streamers or SILLY STRING should be used either on or near the Inflatable.(Please note these products will cause damage to the Inflatable that cannot be repaired) 4) Only 2 riders are allowed at the top of the water slide at a time, and only 6 riders per bounce house or combo unit. 5) Party Planet Rentals is not responsible for damaging any underground utility lines/devices (included but not limited to: electrical, plumbing, sprinkler, etc.). It is lessee’s responsibility to tell Party Planet Rentals where the inflatable is to be set up, and have any underground utility lines marked prior to set up. 6) Climbing, hanging or sitting on walls is dangerous and must not be allowed. 7) A responsible adult must supervise the inflatable at all times. 8) Always ensure that the Inflatable is not overcrowded, and limit numbers according to the age and size of children using it. Do not allow large and small children to use the inflatable at the same time. 9) Ensure Children are not pushing, colliding, fighting or behaving in a manner likely to injure or cause distress to others. 10) No pets, toys or sharp instruments on the inflatable at any time. 11) Do not allow anyone to bounce on the front safety step. 12) Do not allow anyone to be on the inflatable equipment during the inflation or deflation process. 13) Please ensure that Children are not attempting somersaults and are clothed appropriately so that nothing can fall out of their pockets. 14) In the event that the blower stops working, please ensure all users get off the inflatable immediately and calmly. Check the fuses and make sure the blower tube or deflation tube has not come undone or something has not blown onto and is obstructing the blower. In the event that it overheats, or loses power, switch the blower off at the mains, then switch it back on again 1 or 2 minutes later, and it should restart. If it does not, inform us immediately. 15) THE MOST IMPORTANT RULE: DO NOT let children play on the inflatable without Adult supervision. Adult supervision is necessary to enforce these rules for safe operation of the Inflatable. 16. Please refer to the safety rules listed on the front panel of the inflatable device and be sure to enforce those rules. LIABILITY DISCLAIMER 1) This rental equipment has been received in good condition and will be returned in the same condition (ordinary wear and accepted) 2) Customer agrees to company right to enter premises of customer at any time to repossess said equipment. 3) Customer agrees to reimburse Party Planet Rentals for all attorney fees, an amount not less than 50% of all sums due, court cost and expenses incurred by Rental Company to enforce collection or to preserve or enforce rights under this contract. 4) Customer agrees not to loan, sublet or otherwise depose of equipment or use it at any other location. 5) Customer agrees to pay in full the replacement cost, including labor, for all damages to rental equipment. 6) If the inflatable equipment is lost, stolen, or damaged beyond repair the renter agrees to pay up to $3000.00 (Three thousand dollars and 0 cents) 7) Customer agrees to ensure that all users (and users’

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: 3.145.8.139  

Sign On the Line Below:

Save