playground waiver


All ages under 18 MUST HAVE a liability waiver signed by their parent or legal guardian. EVERYONE MUST HAVE a waiver initialed and COMPLETELY filled out. Ages 18+ must provide a valid drivers license

Agree and Acknowledge

I understand and acknowledge that if I proceed to register online and to sign the waiver electronically, that, under the Electronic Transactions Act, such electronic registration and electronically signed Waiver document will be valid and enforced in the same manner as a hand-signed document that exists in physical form and that a record or signature may not be denied legal effect or enforceability under law solely because it is in electronic form.

I understand, agree and acknowledge the previous paragraph

Basic Information

Use parent or guardian information if under 18

Minor Information

Enter the information for the children for which you are responsible for:

You certify that you are the legal guardian or parent of the above listed minors

THE JUMP AROUND INDOOR INFLATABLE PARTIES AND OPEN-PLAY WAIVER OF LIABILITY AND ASSUMPTION OF RISK!I, for child, my ward or myself sign this Waiver and Assumption of Risk in consideration of the opportunity to use the facility, or to participate in any parties or activities at The Jump Around. I, for child, my ward or myself agree to follow the safety instructions provided and acknowledge that failure to do so may result in expulsion from The Jump Around. I, for child, my ward or myself acknowledge and understand that there are dangers and risks associated with the activities at The Jump Around and agree to assume all risk of personal injury, including the potential for paralysis and or death. I for child, my ward or myself certify that participant(s) is/are physically fit to participate in any and or all activities at The Jump Around. I, for myself, my child or ward, and on behalf of my or their heirs, assigns, personal representative and next of kin, HEREBY HOLD HARMLESS The Jump Around, its owners, members, employees, equipment manufacturers and sponsoring agencies for all liability, for risks known or unknown, even if arising from negligence from other participants or employees. I understand that this document is a contract and that I have read it thoroughly, understand and agree to the terms. By signing below, I, for child, my ward or myself have read all rules and do willingly agreeing to the contract terms and agree to pay for all medical costs, attorney’s fees and all other damages from injury to myself, my child or my ward. DATE: ______________ PARENT/ GUARDIAN/ADULT: _______________________________________ PARENT/ GUARDIAN/ADULT: _______________________________________ CHILD: ___________________ CHILD: ___________________ CHILD: ___________________ CHILD: ___________________ CHILD: ___________________ CHILD: ___________________ CHILD: ___________________ CHILD: ___________________ I am responsible for the children (names above) ____________________________ NO SHOES ON THE CARPET, SOCKS MUST BE WORN AT ALL TIMES NO CLIMBING ON THE TOP OF THE BOUNCERS, NO PUSHING NO JUMPING ON OTHERS, NO TOYS IN THE JUMPERS, NO FLIPPING NO RUNNING, NO JUMPING OF F OF THE BOUNCERS, NO KICKING NO ROUGH PLAY, NO CHILDREN OVER 3 IN THE TODDLER ROOM NO SHARP OBJECTS ALLOWED IN THE PLAYGROUND YOU MUST SLIDE FEET FIRST, NO CLIMBING ON THE RED BOX’S NO FOOD OR DRINKS IN THE PLAY GROUND OR TODDLER ROOM TJA IS NOT RESPONSIBLE FOR ANYTHING LOST OR STOLEN PARENT/GUARDIAN ASSUMES ALL LIABILITY, PLAY AT YOUR OWN RISK ALL INJURIES MUST BE REPORTED IMMEDIATELY CHILDREN MUST BE SUPERVISED BY PARENT/GUARDIAN AT ALL TIMES PARENTS/GUARDIANS ARE RESPONSIBLE FOR THEIR CHILDREN

I accept The Jump Around's release of Liability Waiver


By entering my name below and clicking the “Submit Waiver” button below, I indicate my acceptance and delivery of this waiver and release. I acknowledge that I have been given an opportunity to prevent or correct any error in connection with this waiver form. If I have submitted this waiver form in error, I will immediately notify you of the error, revoke my signature as instructed, and refrain from participating in any event or activity to which the waiver applies, as provided in Section 204(b) of the Uniform Electronic Transactions Act.

Allow The Jump Around to contact me for marketing purposes!