Airtastic Play Land - Release Form

10 Digit Phone Number (Used to provide future access to Airtastic Play Land)

Parent(s) First Name

Family Last Name

Children(s) First Name(s)

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 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 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.