Bouncing to Success Permission Slip

Bouncing to Success Permission Slip

  • Child Information

    I acknowledge that I and/or my child(ren) have come to enjoy the bounce houses provided by Bash-N-Bounce, LLC and the Muscatine Community School District. I am aware that activities in an inflatable unit (such as jumping, climbing and sliding) can be hazardous if not supervised. I acknowledge that I have read the attached rules (see reverse) and further agree to abide by any rules or regulations and to follow any guidelines or instructions that Bash-N-Bounce or the Muscatine Community School District may provide orally or in writing. I hereby assume all risks of injury and damage to persons or property. I further release, indemnify and hold harmless the owners of Bash-N-Bounce, LLC, and the Muscatine Community School District from and against any and all liabilities, claims, demands, costs, expense or compensation of whatever nature in connection with any and all liabilities, claims, demands, costs, losses, expenses, or compensation of whatever nature in connection with any loss, damage or injuries to persons or property caused or sustained by me and/or my child(ren). I grant permission to Bash-N-Bounce, LLC, its affiliates and sponsors to use any photographs, motion pictures, recordings or any other record of this event for any purpose. This may include, but is not limited to, future promotions, advertising and marketing activities. Any and all of the photographs, motion pictures, recordings or any other record are sole property of Bash-N-Bounce, LLC. I certify that I am the parent, legal guardian, supervisor, or responsible person of the following minor child(ren):
  • Parent/Guardian Information

    I assume all risks and responsibilities for the safety and well-being of such minor child(ren) and am entering into this Liability Waiver and Indemnity on behalf of such minor child(ren). I have read the Liability Waiver and Indemnity statements above and agree to be bound by/adhere to them. I agree that by completing this waiver electronically is equivalent to my physical signature.