A COMPLETED YEARLY WAIVER IS REQUIRED TO PARTICIPATE AT BOUNCIN’ BEARS. SORRY, NO EXCEPTIONS.

This document will be kept on file and for the period stated below it releases all names for the given date through and including the dates signed below.

In consideration of being allowed to enter the play area and/or participate in any party and/or program at Bouncin’ Bears the undersigned, on his or her behalf, and on the behalf of the participant(s) identified below, acknowledges, appreciates and agrees to the following conditions:

I represent that 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. By signing this I am now a ride operator and will assist children and make sure they are all following the ride rules.

I, for myself, my child or ward, acknowledge and understand that there are dangers and risks associated with the activities at/by Bouncin’ Bears and agree to assume all risk of personal injury.

I, for myself, my child or ward, and on behalf of my or their heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Bouncin’ Bears, their affiliates, shareholders, officers, directors, agents, employee, other participants, property manager, landlord, equipment manufactures, attorneys and sponsoring agencies from and against any and all claims, damages, or liabilities for any such personal injury, disability, death or damages to person or property resulting, arising out of, or related to our participation in any and all Bouncin’ Bears programs, activities, parties, the use of play area and/or inflatable equipment to the fullest extent of the law.

In the event of an accident or serious illness, I hereby authorize Bouncin’ Bears to obtain medical treatment for me, my child or ward, on my behalf. I hereby hold harmless and agree to indemnify Bouncin’ Bears from any claims, causes of action, damages and/or liabilities, arising out of or resulting from said medical treatment.

I, for myself, my child or ward, consent to the publication of personal pictures, which may be taken by Bouncin’ Bears personnel or their representatives. Publication may include, but is not limited to marketing materials and websites.

Parent/Guardian Name:______

Please print

Signature: ______

Required

Parent/Guardian Name:______

Please print

Signature: ______

Required

Mailing Address: ______

Optional

City: ______State: ____ Zip: ______Home Phone#:______

Email Optional

__ .

PLEASE PRINT

DATE: ______valid for one year

AGE Children’s First and Last Names

(______) ______Please print

(______) ______

(______) ______

(______) ______

(______) ______

(______) ______

(______) ______

(______) ______

(______) ______

Operational Rules

• All guests under 18 years of age must be accompanied by a parent or guardian atleast 18 years of age

• Each participant must remove shoes and wear socks

• Participants must remove all objects from their pockets (NO WEAPONS)

• No outside food, drinks or coolers

• No food or drinks on jumps

• On all slides, no jumping, flipping,rolling or sliding on feet from the top

• Once you slide you must exit immediately

• BOUNCIN’ BEARSreserves the right to ask any guests who do not follow

the rules to leave

• No running, pushing or shoving

• No wrestling or rough play

• No climbing or hanging from the nets, or climbing over the sides

• No flips

• BOUNCIN’ BEARS is a Parent Supervised Facility, and I agree to supervise my participant.

• BE SAFE AND HAVE FUN!

If there are any problems, notify an employee immediately