Loading...

Granite City Jump LLC Waiver of Liability

79 3rd st NE, Waite Park, MN 56387

320-342-2148

 

By completing and signing this form, I understand and agree to the statements presented in the Granite City Jump, LLC waiver. I also agree this will serve as my understanding and agreement with Granite City Jump, LLC for all future visits, regardless of nature. By signing a Granite City Jump, LLC participation waiver as the guardian of named child(ren), I understand the potential risks of playing on inflatable play units, some of which include, but are not limited to: personal injury, disability and or death. I understand and asume, as guardian, any and all risks, damage or injury as a result of participation at Granite City Jump, LLC. In agreement for admission, I hereby release, waive, and forever discharge any and all rights to legal recourse regarding participation at Granite City Jump, LLC and that of its owners, agents, employees, officers, directors, and/or all other personal entities acting on it's behalf, from any and all claims, damages, liability, actions, costs or expenses including, but not limited to: attorney fees, court fees, or arbitration that may arise out of participation or use of the Granite City Jump, LLC facitlity. I understand that use of the Granite City Jump, LLC facility is strictly voluntary and that by signing a waiver, I agree to abide by this agreement, and release all rights to legal recourse that i may have or possess. I also agree this will serve as my understanding and agreement with Granite City Jump, LLC for all future visits, regardless of nature.

 

 

First Participant's Name
First Name*
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address
Email*
Confirm Email*
Check to receive information, news, and discounts by e-mail.
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*
Phone*
Parent or Guardian's Date of Birth*
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!