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757-594-1268 |
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Waiver for Jumping on Inflatable Structures
Name of participant (Child): _____________________________________ Birth date (Child): ______________ Name of adult participant/parent: _____________________________________________________________ Mailing Address: _________________________________________________________________________ I, (we) despite all reasonable precautions implemented for safety, am (are) fully aware of and appreciate the risks, including the risk of catastrophic injury, paralysis and even death as well as other damages and losses associated with participation in the programs or activities. I (we) knowingly and willingly assume all such risks. Consequently, I (we) hereby form myself, heirs, executors and administrators, do waive and release any and all rights and claims for damages against the owners, operators, employees and other members of TNT Dynamite Parties, Inc. from personal injury or accident of any sort or nature suffered by me (us), the undersigned, by reason of participation or membership in any programs or activities of TNT Dynamite Parties, Inc. ___________________________________________________________
Date:________________ Safety Rules 1. Socks must be worn to enter.
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