Frogg's Bounce House

16121 Brookhurst St., Fountain Valley, CA. 92708 (714) 418-0442

FROGG'S BOUNCE HOUSE, LLC
ACKNOWLEDGEMENT OF RISK, RELEASE OF LIABILITY, AND PARTICIPANT AGREEMENT

In consideration of being allowed to enter the play and/or party area at Frogg's Bounce House the undersigned, on his or her behalf, and on behalf of the participant(s) identified below, acknowledges, appreciates and agrees to the following conditions:

I as the parent, or legal guardian of the participant(s) named below, or I have obtained permission from the parent/legal guardian of the participant(s) (children, minor) named below to execute this agreement on their behalf.

I as a parent/guardian on behalf of the participants listed below am aware that participating in Frogg's Bounce House activities, parties, and/or use of the play areas and inflatable equipment creates a risk of injury, and I freely assume all such risks both known and unknown even if arising from the negligence of others. I AGREE TO RELEASE, DEFEND, INDEMNIFY, NOT SUE AND HOLD HARMLESS FROGG'S BOUNCE HOUSE, LLC, their principals, officers, owners, employees, equipment manufacturers from any claims, damages, (including medical fees, attorney fees), injuries (including disabilities, paralysis and death) and expenses arising out of or resulting from my voluntary attendance/participation at FROGG'S BOUNCE HOUSE, LLC or the voluntary attendance/participation of those for whom I have signed below.

I as a parent/guardian willingly agree to comply with the stated, customary, posted terms, rules, verbal instructions and conditions for attendance/participation. I warrant and certify that all participants (minor/children) are physically fit and able to participate in all activities at FROGG'S BOUNCE HOUSE. If I observe any hazard during our participation, I will bring it to the attention of the nearest FROGG'S BOUNCE HOUSE employee.

I as a parent/guardian have carefully read the above participation agreement, assumption of risk acknowledgement and release of liability. I hereby agree to be bound by it for myself and all minor participants listed below, and fully understand its contents. I have the permission from the minor's family or other responsible party to cover minor under this agreement.

Parent /Guardian ( Print First and Last Name) Parent /Guardian (Signature)
1)  
2)  

Participant/Minor's Name Age
1)  
2)  
3)  
4)  
5)  

 

EMERGENCY CONTACT AND PHONE #_________________________________________________________