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General=
Release/Indemnity/Hold Harmless: I the undersigned, understand and acknowledge that play on inflatable equi=
pment entails both known and unknown risks including, but not limited to, p=
hysical injury from falling, slipping, crashing or colliding, emotional inj=
ury, paralysis. distress, damage or death to any participant. I hereby volu=
ntarily and expressly release, indemnify, forever discharge and hold harmle=
ss Sport City, USA, LLC, D/B/A Bounce Town from any and all liability, clai=
ms, demands, causes or rights of action whether personal to me or to a thir=
d party, which are in any way connected with participation in this activity=
, including those allegedly attributable to negligent acts or omissions. Sh=
ould Sport City, USA, LLC, D/B/A Bounce Town or anyone acting on behalf of =
Sport City, USA, LLC, D/B/A Bounce Town be required to incur attorney's fee=
s and costs to enforce this agreement, I expressly agree to indemnify and h=
old Sport City, USA, LLC, D/B/A Bounce Town harmless for all such fees and =
costs. In the event I, the undersigned or any of my participants file a law=
suit against Sport City, USA, LLC, D/B/A Bounce Town, it is agreed to do so=
solely in the State of Colorado. I agree that if any portion of this agree=
ment is found to be void or unenforceable, the remaining portions shall rem=
ain in full force and effect. In consideration of being permitted by Sport =
City, USA, LLC, D/B/A Bounce Town to use its equipment and facilities, the =
undersigned and it participants agree to indemnify and hold harmless Sport =
City, USA, LLC, D/B/A Bounce Town from any and all claims which are brought=
by the undersigned and/or their participants and which are in any way conn=
ected with such use or participation. Specifi=
c Rules and Instructions for inflatable units: A set of Rules and Directions are either displayed on the inflatable unit(=
s) or have been provided to the undersigned which I agree to follow and uti=
lize at all times during operation and use of the unit(s). WARNING—Individuals with head, neck, back, k=
nee and/or other joint, or other musculo-skeletal injuries or disabilities,=
pregnant women, small infants, and others who may be susceptible to injury=
form falls, bumps or bouncing are not permitted in the inflatables at any =
time. I will notify a Bounce Town employee of any observed hazard or hazardous situatio=
n immediately. Custome=
r Acknowledgement: I, the undersigned, acknowledge: and certify that I have had sufficient op=
portunity to read the entire Agreement and Acknowledgement of Risks, that I=
understand its content and that I execute it freely and without duress of =
any kind and agree to the terms herein stated. Date: __________________=
_______. This agreement shall remain in force until revoked by either party.=
Adult/Guardian (Print Na=
me): __________________________________________ Signature: _____________=
____________________________________________ Participant Name/Date of Birth: ___________________________=
_____________________ Address: _______________=
___________________________________________ Participant Name/Date of Birth: ____________________________=
____________________ &nbs=
p; =
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; City, State Zip: _______=
______________________________________________ Participant Name/Date of Birth: ___________________=
_____________________________ Emergency Contact # ____=
____________________________________________ Participant Name/Date of Birth: ___________________________=
_____________________ |
![](3D"Waiverofliability_files/image001.gif")
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Phone: (719) 647-1190 Fax: (719) 647-0476 Email: bouncetow=
n@msn.com
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![](3D"Waiverofliability_files/image002.gif")
![3D"Oval:](3D"Waiverofliability_files/image003.gif")
![3D"BOUNCE](3D"Waiverofliability_files/image004.gif")