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BUBBLEPOP AGREEMENT TO USE FACILITIES AND SERVICES AND WAIVER OF LIABILITY

Acknowledging participation in the activities at OC BubblePOP, the undersigned, on his or her own behalf, and on behalf of any executors, heirs, successors and assigns, hereby acknowledges and agrees as follows:

  1. I am fully aware of the risks and hazards connected with the activities which may take place in this facility. Such risks and hazards include but are not limited to: falls on or from the equipment, tripping, collisions with the equipment or with other participants, falls from slipping on floor. I am aware that such activities include the risk of injury and even death, and I hereby elect to voluntarily participate in said activities, knowing that the activities may be hazardous to my property and me. I understand that “BubblePOP” (which includes OC BubblePOP; BubblePOP; ConceptV, Inc; and/or their directors, officers, employees, volunteers, representatives, and agents), does not require me to participate in these activities. I voluntarily assume full responsibility for any risks of loss, property damage, or personal injury, including death, that may be sustained by me, or any loss or damage to property owned by me, as a result of being engaged in such activities, whether caused by the negligence of BubblePOP or otherwise, to the fullest extent allowed by law.

    I waive, release, and discharge BubblePOP from any and all liability, including but not limited to, liability arising from the negligence or fault of BubblePOP for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me, including my traveling to and from this activity.
     
  2. I understand that adult supervision of each minor participant listed below by that minor's parent or authorized caregiver is required at all times. BubblePOP shall not be liable for any injury resulting from absence of adult supervision, including but not limited to, any child leaving the property of BubblePOP without a parent or caregiver.
     
  3. I agree to indemnify and hold harmless BubblePOP from, without limitation, any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney's fees and costs, incurred due to claims brought by any third-party as a result of or arising out of the my or the Participant involvement in the activities and to reimburse BubblePOP for any such costs, expenses and fees as they are incurred.
     
  4. I give consent to the use, reproductions, and/or publication of photographs taken within BubblePOP by BubblePOP and/or BubblePOP’s agents. I understand that BubblePOP reserves the right to use digital files and/or reproductions of any images taken of myself or the Participant(s) for the purpose of (and not limited to) printed display, illustration, advertising, competition, promotions, publications or other purposes, including the internet (BubblePOP's website, Facebook, Instagram, etc.). I hereby waive any right to inspect or approve the photographs and/or digital files or any eventual use for which BubblePOP may use these materials. With regard to the foregoing, I will have no claims against BubblePOP, or publishers of these images in the present or future.
     
  5. This document is intended to be as broad and inclusive as is permitted by the laws of the State of California and if any provision (or a part of any provision) contained herein is deemed to be invalid, the balance of the provisions shall continue in full legal force and effect, notwithstanding such invalidity.

Parent or Legal Guardian Certification and Consent – I hereby certify that I am the parent or legal guardian of any minor Participant whose name(s) appears below, and I understand this document is binding not only on myself, but also on the Participant. I have read and I understand all of the provisions of this document and the risks of the activities. I understand that the activities could cause injury and even death. I acknowledge that I have read and understand the terms of this document and I am freely and voluntarily signing this document.

I HAVE READ THE ABOVE WAIVER AND BY SIGNING IT, I AGREE IT IS MY INTENTION TO EXEMPT AND RELIEVE BUBBLEPOP FROM ALL LIABILITY ARISING FROM UTILIZING THE FACILITIES.

Date Signed: December 6, 2019

First Participant Name

First Name*

Last Name*
First Participant Date of Birth*
I certify that I am 18 years of age or older
First Participant Signature*
Second Participant Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

Last Name*
Tenth Participant Date of Birth*
Parent or Guardian 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.
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 Name

First Name*

Last Name*

Relationship*
Parent or Guardian Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian 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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