Fillable Printable Sky Zone Grand Rapids Participant Agreement, Release and Assumption of Risk

Sky Zone Grand Rapids Participant Agreement, Release and Assumption of Risk

Parent/Guardian/Participant (if over 18): First Name

Last Name

Birth date

Street Address

Apt. #

City

State

ZIP

Cell Phone

Check box if you would like to sign up for free text message

promotions and discounts; Standard text message rates may apply

from your service provider.

In consideration of the services of 3 Reasons, LLC, (d/b/a Sky Zone Grand Rapids) their agents, owners, officers, affiliates, volunteers, participants, employees,

franchisors, and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as “SZRC”), I hereby agree to release,

indemnify, and discharge SZRC, on behalf of myself, my spouse, my children, my parents, my heirs, assigns, personal representative and estate as follows:

1. I acknowledge that my participation in a SZRC trampoline game or activities, or a bungee trampoline activity entails known and unanticipated risks that

could result in physical or emotional injury, paralysis, death, or damage to myself, to property, or to third parties. I understand that such risks simply cannot be

eliminated without jeopardizing the essential qualities of the activity.

The risks include, among other things: SZRC trampolines entail certain risks that simply cannot be eliminated without jeopardizing the essential qualities of the

activity. Risks include the negligence of other participants or myself, injuries including rope burn, sprains, fractures, scrapes, bruises and cuts, dislocations,

pinched fingers and serious injuries to the head, back, or neck which can cause paralysis, or even death. Trampolines expose its participants to the usual risk of

cuts and bruises. Other more serious risks exist as well. Participants often fall off equipment, sprain or break wrists, ankles and legs, and can suffer more serious

injuries as well. Traveling to and from trampoline locations raises the possibility of any manner of transportation accidents. Participants often fall on each other

resulting in broken bones and other serious injuries. Double bouncing, more than one person per trampoline can create a rebound effect causing serious injury.

Flipping and running and bouncing off the walls is dangerous and can cause serious injury and must be done at the participants own risk. In any event, if you or

your child is injured, you or your child may require medical assistance, at your own expense. Furthermore, SZRC employees have difficult jobs to perform. They

seek safety, but they are not infallible. They might be unaware of a participant’s health or abilities. They may give incomplete warnings or instructions, and the

equipment being used might malfunction.

2. I expressly agree and promise to accept and assume all of the risks existing in this activity. My participation in this activity is purely voluntary, and I elect to

participate in spite of the risks.

3. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless SZRC from any and all claims, demands, or causes of action, which I

may sustain while on the premises or are in any way connected with my participation in SZRC activities or my use of SZRC's equipment or facilities including

any such claims which allege negligent acts or omissions of SZRC.

4. Should SZRC or anyone acting on their behalf, be required to incur attorney's fees and costs to enforce this agreement, I agree to indemnify and hold them

harmless for all such fees and costs.

5. I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bear the costs of such injury

or damage myself. I further certify that I am willing to assume the risk of any medical or physical condition I may have.

In the event that I file a lawsuit against SZRC, I agree to do so solely in the state of Michigan, and I further agree that the substantive law of Michigan shall apply

that action without regard to the conflict of law rules of that state. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining

portions shall remain in full force and effect.

By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a

court of law to have waived my right to maintain a lawsuit against SZRC on the basis of any claim from which I have released them herein. I have had

sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.

I further grant SZRC, LLC the right to photograph, videotape, and/or record me and/or my child/ward and to use my or my child’s/wards’ name, face, likeness,

voice and appearance in connection with exhibitions, publicity, advertising, and promotional materials without reservation or limitation. I would like to receive

free email promotions and discounts to the email address provided above. I may unsubscribe to emails from Sky Zone at any time.

Participant Signature (if 18 or older): _____________________________________________ Date: __________________

PARENT'S OR LEGAL GUARDIAN'S ADDITIONAL INDEMNIFICATION (Must be completed for participants under the age of 18)

In consideration of (print up to four minors’ names/birthdates below of SAME parent or legal guardian):

Participant 1: First Name

Last Name

Birthdate

Participant 2: First Name

Last Name

Birthdate

Participant 3: First Name

Last Name

Birthdate

Participant 4: First Name

Last Name

Birthdate

(“Minor”) being permitted by SZRC to participate in its activities and to use its equipment and facilities, I further agree to indemnify and hold harmless SZRC from any

and all claims which are brought by, or on behalf of Minor, and which are in any way connected with such use or participation by Minor, including but not limited to

those claims which allege negligent acts or omissions of SZRC, to the fullest extent permitted by law. I further certify that I am the parent or legal guardian of the

minor on this agreement.

Parent or Legal Guardian’s Signature: _________________________________Print Name: ________________________________ Date: _________

Waiver accepted by_________________________ (SZRC Employee) 06.12

Sky Zone Grand Rapids Participant Agreement, Release and Assumption of Risk

Please print and fill out completely. Complete electronically at www.skyzonesports.com