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The Jumpy Place Indoor Fun Factory, LLC
ACKNOWLEDGEMENT OF RISK ACCEPTANCE OF RESPONSIBILITY RELEASE OF LIABILITY

THIS DOCUMENT AFFECTS YOUR LEGAL RIGHTS. YOU MUST READ AND UNDERSTAND IT BEFORE INITIALING OR SIGNING. DUTY OF PARTICIPANTS: It is recognized that some recreational activities conducted by The Jumpy Place Indoor Fun Factory, LLC are hazardous to participants regardless of all feasible safety measures which we can take. All participants shall have a duty to act as a reasonably prudent person when engaging in the recreational activities which are offered by The Jumpy Place Indoor Fun Factory, LLC referred to hereafter as The Jumpy Place Indoor Fun Factory, LLC

  1. I hereby covenant and agree not to condone, initiate or take part in any act which shall interfere with the running or operation of this rental when such activities conform to the rules and regulations of the State of Florida.
  2. any use of The JumpyPlace Indoor Fun Factory, LLC equipment or facilities or services if I do not have the ability to use such facilities, equipment or services safely with instructions until I have requested and received sufficient instruction to permit safe usage.
  3. or engage in any harmful conduct or willfully, or negligently engage in any type of conduct which contributes to or causes injury to any one person
  4. or to embark in any self initiated activity without first informing The Jumpy Place Indoor Fun Factory, LLC of my intentions or receiving permission from The Jumpy Place Indoor Fun Factory, LLC to engage in such self- initiated activity

ACKNOWLEDGEMENT AND ACCEPTANCE OF RISK: I acknowledge and understand that the activity that I am about to voluntarily engage in as a participant and/or volunteer bears certain known risks and unanticipated risks which could result in injury, death, illness or disease, physical or mental, or damage to myself, to my property, or to spectators or other third-parties. I, being aware that this activity entails risk or injuries to myself and a risk or injury to spectators or third-parties as a result of my actions, expressly agree, covenant and promise to accept and assume all responsibility and risk for injury, death, illness, or disease, or damage to myself or to my property arising from participation in this activity. I also agree to pay for any damages caused by others (including attorneys’ fees or costs) if they are injured or otherwise damaged due to any negligent actions. I agree to release from liability and hold harmless The Jumpy Place Indoor Fun Factory, LLC. My participation in this activity is purely voluntary; no one is forcing me to participate and I elect to participate in spite of the known and unknown risks.

RELEASE: In consideration of the services an or property provided, I, for myself and any minor children for which I am the parent, legal guardian or otherwise responsible, any heirs, personal representatives, or assigns, do hereby release and hold harmless The Jumpy Place Indoor Fun Factory, LLC its principals, directors, officers, agent, employees, attorney’s and volunteers from any liability and waive any claim for damages arising from any cause whatsoever I further agree to reimburse you for all attorney’s fees and costs should I bring a legal action against you and lose.

ENTIRE AGREEMENT: I understand that this is the entire agreement between me and The Jumpy Place Indoor Fun Factory, LLC, it’s agents or employees, and that it cannot be modified or changed in any way by the representations or statements of any employees of The Jumpy Place Indoor Fun Factory, LLC or by me.

My signature below indicates that I have read this entire document understand it completely and agree to be bound by its terms.

ACKNOWLEDGEMENT OF RISK ACCEPTANCE OF RESPONSIBILITY, RELEASE OF LIABILITY

Today's Date: October 6, 2022

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

Email*

Confirm Email*
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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.


By signing below the parent or court-appointed legal guardian agrees that they are also 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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