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Bounce n’ Boogie LLC Release and Waiver of Liability and Indemnity Agreement

In consideration of being allowed to participate in Bounce n’ Boogie LLC Activities the undersigned, on his/her behalf, and on behalf of the participant(s) identified below, acknowledges, appreciates and agrees to the following conditions:

I am/represent the parent/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 the participant(s) names below and I shall comply with all stated and customary terms, posted safety signs, rules, and verbal instructions as conditions for participation in any Bounce n’ Boogie LLC Class or Activity, such as but not limited to instructional classes, birthday parties, open play times, ActiveME Camps, Parents Night Out, and etc.

I am AWARE that there are inherent risks associated with participation in Bounce n’ Boogie LLC activities and I, on behalf of myself and the participant(s) named below, knowingly and freely assume all such risk, both known and unknown, including those that may arise out of the negligence of other participants; and, I, for myself and participant(s) named below, and our respective heirs, assigns, administrators, personal representatives, and next of kin, hereby release and hold harmless Bounce n’ Boogie LLC, its members and owners, any Bounce n’ Boogie LLC volunteer or paid instructor, and 141 Osuna, LLC owners, partners and operators from and against any and all claims, injuries, liabilities or damages arising out of or related to our participation in any and all Bounce n’ Boogie LLC activities.

I hereby consent to the use of any pictures of my child participating in a Bounce n’ Boogie LLC activity, or statement by my child concerning Bounce n’ Boogie LLC activities, for Bounce n’ Boogie LLC advertising and promotional purposes.

I have read and agree to all terms of this release.

Dated: October 19, 2020

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
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*
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.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
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*
I certify that I am 18 years of age or older
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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