Welcome to The Bounce Playhouse!
Sign in to begin a fun experience
Sign in to Google to save your progress. Learn more
Name *
Phone number *
The Bounce Playhouse Waiver
Release and waiver of liability, assumption of risk, and indemnity agreement

-  I attest that I am the parent or legal guardian of the participant(s) undersigned, or that I have obtained permission from the parent/legal guardian of the participant(s) undersigned to execute this agreement on their behalf and agree to attend to and monitor the activities of all participant(s) undersigned such that all activities are age and ability appropriate.

- In consideration of participating in activities at The Bounce Playhouse, I represent that I understand the nature of this activity and that my child is qualified, in good health, and in proper physical condition to participate in such activity. I acknowledge that if I believe that conditions are unsafe, I will immediately discontinue participation of my child in the activity and notify employees of The Bounce Playhouse. Additionally, I agree that all undersigned and I shall use all play equipment and items appropriately, adhering to all play rules, as well as size and weight limitations;  Furthermore, I understand and agree that I will be solely responsible for any and all costs to repair or replace any damage to the facility and/or the equipment therein incurred by the undersigned and myself outside of normal wear and tear. Furthermore, I understand and agree that no outside food is permitted in the facility and will ensure that any food purchased from the facility will be consumed in designated eating areas only.  

- I, for myself, and the participant(s) undersigned, acknowledge and understand that there are dangers and risks associated with the activities at/by The Bounce Playhouse and agree to assume all risk of personal injury, including the potential for paralysis and death, and I, on behalf of myself and the participant(s) undersigned, knowingly and freely assume all such risk, both known and unknown, including those that may arise out of negligence or by other participants;

- I hereby release, discharge, and agree not to sue The Bounce Playhouse, its respective administrators, directors, agents, officers, volunteers, employees, sponsors, advertisers, and if any applicable owners and lessors of the premises on which activity takes place (each considered “Releases” herein from all liability, claims demands, losses, or damages).
This release and waiver extends to all acts of negligence by The Bounce Playhouse and is intended to be as broad and inclusive as permitted by the law, and if any portion of this agreement is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.
- I, for myself, and the participant(s) undersigned, consent to the publication of personal pictures, which may be taken by The Bounce Playhouse personnel or their representatives. Publication may include, but is not limited to, marketing materials and websites.  

Agreement *
Number of Children  *
You will type your electronic signature below. Please enter your full name (this will constitute your electronic signature for signing/agreeing to the waiver.
Signature  *
I am aware of and agree to being charge by the hour and will pay at the end when ready to leave. *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy