Fillable Printable Sky Zone Grand Rapids Participant Agreement, Release and Assumption of Risk
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
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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 orentities acting in any capacityon their behalf (hereinafter collectivelyreferred to as “SZRC”), I hereby agree to release,
indemnify, and discharge SZRC, on behalf of myself, myspouse, my children, my parents, my heirs, assigns, personal representative and estate as follows:
1. I acknowledge that my participationin a SZRC trampolinegame or activities, or a bungee trampolineactivity 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 theactivity.
The risks include, among other things: SZRC trampolines entail certain risks that simplycannot be eliminated without jeopardizingthe 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 thehead, 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 anymanner 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 causingserious injury.
Flipping andrunning 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 havedifficult jobs to perform. They
seek safety, but they are not infallible. Theymight be unaware of a participant’s health or abilities. They may give incomplete warnings or instructions, and the
equipment beingused might malfunction.
2. I expressly agree and promise to accept and assume all of the risks existing in this activity. My participationin this activity is purelyvoluntary, and Ielect to
participate in spite of therisks.
3. I herebyvoluntarily 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 ontheir 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 anyinjury 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 certifythat I am willing to assume the risk of anymedical or physical condition I may have.
In the event that I file a lawsuit against SZRC, I agree to do so solely in thestate of Michigan, and I further agree that the substantive law of Michigan shall apply
that action without regard to the conflict of law rulesof 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 thisentire 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 mychild/ward and to use myor mychild’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 SkyZone at anytime.
Participant Signature (if 18 orolder): _____________________________________________ Date: __________________
PARENT'S OR LEGAL GUARDIAN'S ADDITIONAL INDEMNIFICATION (Must be completed forparticipants underthe age of 18)
In consideration of (print up to four minors’ names/birthdates below of SAME parentor 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 ofMinor, and which are in any way connected with such useor participation by Minor, including but not limited to
those claimswhich allege negligent acts or omissions of SZRC, to the fullest extentpermitted by law. I further certify that I am the parent or legal guardian of the
minor on this agreement.
Parent orLegal 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
