INJURY WAIVER AND GENERAL RELEASE FORM
Wristband
Date:
AGE
Participant Name: ______________
Parent/Guardian Name:______________
Signature: ______________
Address: __________________________________ City: _____________ State: ______ Zip: __________
Home Phone#: ___________________________
Email:
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PLEASE PRINT
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CHILDREN NAMES
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(______)
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(______)
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(______)
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ADULT NAMES
BY PROVIDING THIS WAIVER, MONKEY JOE'S DOES NOT INTEND TO DENY PARTICIPANTS A
RIGHT TO BARGAIN. IF PARTICIPANTS WISH TO PARTICIPATE IN ACTIVITIES WITHOUT EXECUTING
THE WAIVER, THE COST IS $250 PER PARTICIPANT, BECAUSE OF THE POTENTIAL INCREASE IN
LIABILITY TO MONKEY JOE'S.
YOU ACKNOWLEDGE THAT YOU HAVE READ AND FULLY UNDERSTAND THE INJURY
WAIVER AND GENERAL RELEASE FORM. THIS AGREEMENT SHALL BE BINDING ON YOU,
YOUR SPOUSE, YOUR CHILDREN, LEGAL REPRESENTATIVES, HEIRS, SUCCESSORS AND ASSIGNS.
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Rules
Socks Must Be Worn To Play at Monkey Joe’s.
BY SIGNING YOUR NAME BELOW AS A PARTICIPANT, AND/OR PARENT/LEGAL
GUARDIAN OF PARTICIPANT AT MONKEY JOE’S, YOU ACKNOWLEDGE THAT
PARTICIPATION IN THE ACTIVITIES EXPOSES YOU TO A POSSIBILITY OF PERSONAL INJURY.
THE FACILITIES AT MONKEY JOE'S ALLOW CHILDREN TO JUMP AND PLAY ON INFLATABLE
RIDES AND GAMES. WHILE THESE FACILITIES ARE DEVELOPED AND MAINTAINED TO
THE SAFEST LEVEL POSSIBLE, INJURY CAN OCCUR. YOU, BEING FULLY AWARE THAT
PARTICIPATION IN THE ACTIVITIES EXPOSES YOU, OR A CHILD IN YOUR CARE OR CUSTODY,
TO A POSSIBLE RISK OF PERSONAL INJURY, INCLUDING BROKEN BONES, PARALYSIS AND
DEATH, HEREBY RELEASE MONKEY JOE’S AND ITS OFFICERS, DIRECTORS, EMPLOYEES,
AGENTS, LICENSEES, SUBSIDIARIES, CONSULTANTS, INDEPENDENT CONTRACTORS AND
AFFILIATES FROM ANY AND ALL LIABILITY FROM PROPERTY DAMAGE, PERSONAL INJURIES,
OR OTHER CLAIMS ARISING FROM OR IN CONNECTION WITH YOUR PARTICIPATION IN THE
PROGRAM INCLUDING CLAIMS THAT ARE KNOWN AND UNKNOWN, FORESEEN AND
UNFORESEEN, FUTURE OR CONTINGENT. MONKEY JOE'S REMAINS RESPONSIBLE FOR
MAINTAINING ITS EQUIPMENT IN GOOD WORKING ORDER TO PREVENT INJURY WHEN
USED CORRECTLY AND UNDER THE ADVISE OF ITS EMPLOYEES AND AGENTS. BY AUTHORING
THIS WAIVER, MONKEY JOE'S IS NOT INTENDING TO CAUSE CUSTOMERS TO WAIVE CLAIMS
FOR NEGLIGENCE IN THE OPERATIONS OR MAINTENANCE OF ITS EQUIPMENT. MONKEY
JOE'S IS GETTING A WAIVER OF ACCIDENTAL INJURY BASED ON PARTICIPATION IN THIS ACTIVITY.
• All guests under 18 years of age must be accompanied by
a parent or guardian at least 18 years of age
• Each participant must remove shoes and wear socks
• Participants must remove all objects from pockets
• Obey referees at all times
• No outside food, drinks or coolers
• No food or drinks on jumps
• On all slides, kids must slide feet first and on their bottoms
• No running, pushing or shoving
• No wrestling or rough play
• No diving, climbing, hanging or flips
• Parents must supervise kids at all times
• ONLY KIDS 12 YEARS AND YOUNGER ALLOWED ON JUMPS
Adults are restricted from playing on jumps unless assisting children age 4 and under
If there are any problems, notify a referee immediately
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