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Airtastic Play Land Release of Liability Form
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10 Digit Phone Number - No Spaces*
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Alternate Phone Number (Optional) - No Spaces
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First Name*
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Last Name*
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Address*
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City*
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State*
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Zip*
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Children(s) Name(s)*
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I represent that I am the parent or legal guardian
of the participant(s) named above, or I have obtained
permission from the parent/legal guardian of the
participant(s) named above to execute this agreement
on their behalf. I agree that the participant(s) named
above and I shall comply with all stated and customary
terms, posted safety signs, rules, and verbal instructions
and conditions for participation in any party and/or program
at Airtastic, Inc. In addition, if I observe any hazard
during our participation, I will bring it to the attention of the
nearest Airtastic, Inc. employee or official immediately; I am
aware that there are inherent risks associated with participation
at Airtastic, Inc. programs, parties, and/or use of the play area
and inflatable equipment, and I on behalf of myself, my spouse,
and other family members that I have brought with me, and the
participant(s) named above, knowingly and freely assume all such
risks and nuisances, both known and unknown, including those
that may arise out of the negligence of employees or the other
participants; and, I, for myself, my spouse, and other family
members that I have brought with me, and the participant(s)
named above, and our respective heirs, assigns, administrators,
personal representative, and next of kin, hereby release and hold
harmless, Airtastic, Inc. their affiliates, officers, members, agents,
employees, other participants, and sponsoring agencies from and
against any and all claims, injuries, liabilities or damages arising out
of or related to our participation in any and all Airtastic, Inc.
programs activities, parties, the use of the play area and/or inflatable
equipment. I realize this document is a contract and that I have read
it thoroughly and understand the terms, and by hitting "SUBMIT" I am
providing an electronic signature that will be retained thus allowing
future admission to Airtastic Play Land.
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