Bouncy House Liability Waiver & Release Form

Name of Participant

Age (if under 18)

Parent/Guardian (if participant is under 18)

Phone

ACKNOWLEDGEMENT OF RISK

I, the undersigned, understand and acknowledge that participation in a bounce house or inflatable play structure involves inherent risks including, but not limited to, slipping, falling, collisions, physical injury, or property damage.

I (or my child/ward) am voluntarily participating in this activity.

I acknowledge that I assume full responsibility for any risks of injury or property damage while using the bouncy house, whether caused by negligence or otherwise.

I acknowledge that I agree to follow all safety rules and instructions provided by the event staff or rental operator.

WAIVER AND RELEASE

In consideration of being permitted to use the bouncy house, I hereby RELEASE, WAIVE, DISCHARGE, and HOLD HARMLESS Lewis County Autism Coalition, Veterans Memorial Museum, Cornerstone Center for Development, property owners, staff, volunteers, and any affiliated organizations from any and all liability, claims, demands, actions, and causes of action arising out of or related to any loss, damage, or injury, including death, that may be sustained by me or my child/ward while participating in the activity or while on the premises.

I Agree

MEDICAL CONSENT

I certify that I or my child/ward is in good health and physically able to participate. In the event of an emergency, I authorize the event staff or emergency personnel to administer first aid and/or secure medical care if necessary.

PHOTO RELEASE (Optional)

I give permission for photos or video of myself/my child to be used for promotional purposes.

I do not give permission.

Participant or Parent/Guardian Signature

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