myself and for all minors listed below. By signing below, I certify that
I am the legal parent or guardian of the child for whom I am signing.
My signature indicates my agreement for this visit and all future visits
occurring within on year from the date of signature. This document
cannot be modified or changed in any way by Jumperoo LLC, its operators,
employees or the undersigned.
Participants: (Please Print)
Name:_______________________ Date of
Sibling: ______________________Date of
Sibling: ______________________Date of
SOCKS ARE REQUIRED AT JUMPEROO LLC
Voluntary Release/Acknowledgement of Risk
This Document affects your legal rights and you must read and
understand it before signing it.
I, the named participant being eighteen or older in age, or the parent/legal guardian of
the named participant(s) under the age of 18, in consideration of the services of
Jumperoo LLC, and the owners, operations and employees of such entities, and the
right to engage in these activity as a participant and/or volunteer, hereby
acknowledge, agree, promise and covenant with Jumperoo LLC, and the owners,
operations and employees, and all other entities affiliated therewith, on behalf of
myself, my heirs, assigns, personal representatives and estate as follows:
Acknowledgment and acceptance of risks and responsibility: I
acknowledge having heard and understood all verbal, written and posted information
regarding rules and safety instructions including prohibiting the use of our equipment
by anyone over the age of 15 years old, unless otherwise stated by the manufacturer.
I willingly agree to abide by all stated and customary rules and conditions for
attendance and participation in all activities, programs, and parties at Jumperoo LLC.
I understand and acknowledge that the activity I am about to voluntarily engage in as
a participant and or volunteer bears certain known risks and unanticipated risks which
could result in minor or major injury. I voluntarily agree, covenant and promise to
accept and assume all responsibilities, and risk for injury including but not limited to
paralysis, death, illness, disease, physical or mental injury, damage to myself or to the
minor(s) identified below, or damage to my property arising from the participation in
any activity at Jumperoo LLC (including risks arising from the negligence of other
participants) . I further acknowledge that the undersigned is in good physical and
mental health, and not suffering from any condition, disease or disablement which
would or could potentially affect participation in any and all activities at Jumperoo
LLC. In addition, if I observe hazard during our participation, I will bring it to the
attention of the nearest Jumperoo LLC operator or employee immediately.
Release and Indemnity: I, for myself and the minor(s) identified below, voluntarily
release and forever discharge and covenant not to sue Jumperoo LLC, and the
owners, operators and employees of such entities, from any and all liability, claims,
demands, actions or rights, which are related to, arise out of, or in any way connected
with the participation in any and all activities at Jumperoo LLC. I further agree,
promise and covenant, on behalf of myself and the minor(s) identified below, to hold
harmless and to indemnify Jumperoo LLC, and the owners, operators and employees,
and all other persons or entities from all defense costs, including attorney’s fees, or
from any other costs incurred in connection with any claim or lawsuit filed against
Jumperoo LLC, the owners, operators or employees as a result of the participation in
any and all activities.
My signature below indicates that I have read this entire document,
understand it completely, and agree to be bound by its terms, for
You’re invited to a PARTY at
*Signed Waiver (full-sized waiver
available on our website,
jumperoobutte.com) and Socks are
Required to Play on Inflatables