Group Name (if applicable)
Select Group (If Applicable)
Cooper & Coltons Party 10/1
Lily & Phoenix 7/16
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
My signature below indicates that I have read this entire document and understand it completely and agree to be bound by its terms.
This document affects your legal rights. You must read and understand it by signing it.
DUTY OF PARTICIPANTS: It is recognized that some activities conducted by Bounce Kraze are hazardous to participants regardless of all feasible safety measures, which we can take. All participants have a duty to act as a reasonably prudent person when engaging in the recreational activities, which are offered by Bounce Kraze. I hereby covenant and agree not to:
a) Act in any way which shall interfere with the running or operation of Bounce Kraze when such activities conform to the rules and regulations of the State of Pennsylvania.
b) Use any of Bounce Kraze equipment or facilities or services if I do not have the ability to use such facilities, equipment, or services safely without instructions until I have requested and received sufficient instruction to permit safe usage.
c) Engage in any harmful conduct or willfully or negligently engage in any type of conduct which contributes to or causes injury to any person.
d) To embark in any self initiated activity without first informing Bounce Kraze of my intentions and receiving permission from Bounce Kraze to engage in such self-initiated activity.
ACKNOWLEDGMENT AND ACCEPTANCE OF RISK: I understand and acknowledge that the activity which I am about to voluntarily engage in as a participant and/or volunteer bears certain known risks and unanticipated risks which could result in injury, death, illness or disease, physical or mental, or damage to myself, to my property, or to spectators or other third-parties. I, being aware that this activity to accept and assume all responsibility and risk for injury, death, illness, or disease, or damage to myself or to my property arising from otherwise damaged due to any negligent notions. My participation in this activity is purely voluntary; no one is forcing me to participate, and I elect to participate in spite of the known and unknown risks.
RELEASE: In consideration of the services and/or property provided, I, for myself and any minor children for which I am the parent, legal guardian, or other wise responsible, any heirs, personal representatives, or assigns, do hereby release Bounce Kraze, its principals, directors, officers, agents, employees, and volunteers from any liability and waive any claim for damages arising from any cause whatsoever (except that which is gross negligence). I further agree to reimburse you for all attorney’s fees and costs should I bring legal action against you and lose.
ENTIRE AGREEMENT: I understand that this is the entire Agreement between myself and Bounce Kraze, it agents or employees, and that it cannot be modified or changed in any way by the representatives or statements of any employees of Bounce Kraze or by me.
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: 54.221.159.188
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