In consideration of the undersigned Participant being allowed to enter the play area and/or participate in
any party and/or program at Colorado Springs House of Bounce, I affirmatively represent the following:
1. I am the parent or legal guardian of the
participant(s) named below, or I have obtained permission from the parent/legal guardian of the participant(s) named below
to execute this agreement on their behalf. I agree that I will ensure that the participant(s) named below and I shall comply
with all stated and customary terms, posted safety signs, rules, and verbal instructions as conditions for participation in
any party, daily play, and/or program at Colorado Springs House of Bounce. In addition, if I observe any hazard during our
participation, I will bring it to the attention of the nearest Colorado Springs House of Bounce employee or official immediately.
2. I am aware that in addition
to the usual dangers and risks inherent in children’s physical play that there are inherent risks associated with participation
in Colorado Springs House of Bounce activities, such risks including but not limited to, the danger and risk of falling, jumping,
landing, height, motion, and negligence of other participants. By signing this waiver, I freely accept and fully assume responsibility
for all such dangers and risks, both known and unknown, and recognize the possibility of injury to myself and/or Participant
which could result in personal injury and/or property damage.
I waive any and all claims for personal injury including death, illness, and/or property damage that either the Participant
or I may have against Colorado Springs House of Bounce, its principals, directors, employees, representatives and volunteers
in any way associated with Colorado Springs House of Bounce. I further release all the foregoing individuals and entities
from any and all liability for any loss, damage, injury, death, medical or other expense that the Participant or I may suffer,
or that any other party may suffer, as a result of either the Participant’s or my use of the Colorado Springs House
of Bounce facility.
I agree to hold harmless and indemnify the Colorado Springs House of Bounce, and all the individuals named in Section 3 above,
from any claim, liability, or suit alleging property damage or personal injury to any third party, resulting from either the
Participant’s or my use of the Colorado Springs House of Bounce facility.
5. The release, waiver, and indemnity contemplated herein shall be binding
on my next of kin, heirs, executors, administrators, successors and assigns. Further, this release, waiver and indemnity is
effective until revoked in writing by the Parent/ Guardian of the Participant, and provided to Colorado Springs House of Bounce.
6. I HEARBY CERTIFY THAT the
Participant is covered by his/her own medical insurance and that I have read and understand this document prior to signing
it, and that I am aware that by signing this document I am waiving certain legal rights that the Participant or I may have.
Should either the Participant or I have any physical limitation or condition that creates the potential for a higher risk
of injury while enjoying the Colorado Springs House of Bounce facility, I agree to inform Colorado Springs House of Bounce
personnel of such limitation or condition in advance of gaining entry to the facility.
7. The representations made above are material in nature. I recognize
that Colorado Springs House of Bounce is relying upon the material representations in determining whether the Participant
and/or I should be permitted to gain entry to the Colorado Springs House of Bounce.
Participant: Last Name
Date of Birth
Participant: Last Name
Date of Birth
Parent / Guardian Name Printed
Parent / Guardian Signature
Contact Phone Number
Email Address (will be added to our mailing list)