This document will be kept on file forever and 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.

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 agree that I have read the rules and am now a ride operator and that Bouncin Bears is a parent supervised facility.

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.

Operational Rules

All guests under 18 years of age must be accompanied by a parent or guardian at least 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 BEARS reserves 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

No flips

Parents may play if they are assisting a toddler

Bouncin Bears is a Parent Supervised Facility, and I agree to supervise my participant.  



If there are any problems, notify an employee immediately

First Participant's Name

First Name*

Last Name*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Check to receive information, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
Parent / Guardian Address

Phone number *

Street *

City *

Zip Code *
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.

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