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Safety Waiver

I have read and will comply with the Park Rules and Terms and Conditions and assume full responsibility for any minors in my care to do so.
I acknowledge there is a risk of serious injury when undertaking activities in the Park and knowingly and freely assume all such risks, both known and unknown.
In the unlikely event of an accident whereby I suffer an injury or loss or damage to my personal effects, I acknowledge that the Company will not be liable for any direct or indirect loss, damage or injury arising out of the activities and I waive all and any claims whatsoever against Flippin'Fun in this respect.
I will not be directly supervised by a Company instructor or staff member.
If I am under 14 years of age a parent or guardian will be responsible for my safety and supervision and will remain on Flippin'Fun premises at all times while I participate in the activities.
Once the session I have paid for is over I am not able to continue activities until a new session is paid for.
I may be liable to pay for any costs incurred due to the intentional misuse and damage caused to Flippin'Fun equipment.
I grant Flippin'Fun rights to use any pictures or videos taken of myself for any of its publications, advertising and internet promotion.
Flippin'Fun reserves the right to deny participation in its activities to any individual at their discretion.

I Agree

May 29, 2020

First Participant's Name

First Name*

Last Name*

Phone*
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

Email*

Confirm Email*
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Parent or Guardian's Suburb

Residential Suburb
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*

Phone*
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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