Moon Bounce - Inflatable Release

for Your State

This Release of Liability and Assumption of Risk will release the owner of a jumper/bouncer/slider type of inflatable from all liability for accidents or injuries. This form is for use in all states and is available for immediate download.

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This Release of Liability and Assumption of Risk Release is designed for the owner or rental agent for a jumper/bouncer/slider type of inflatable (also known as a moon walk, moon jump, inflatable slide, party jumper or bouncy house) on which children play. It is important that a provider of this type of activity have a signed liability release as accidents and injuries frequently occur. A written Release of Liability will protect your rights and prove invaluable in the event of litigation.

This Release of Liability and Assumption of Risk includes the following provisions:
  • Policies and Procedures: The participant agrees to abide by all policies and procedures regarding the specific device while participating in an activity;
  • Risks and Dangers: The participant agrees that risks and dangers exist while using these type of inflatable devices;
  • Assumption of Risks and Dangers: The participant agrees to assume responsibility for all risks while engaging in the activity;
  • Signatures: Signature line for the participant or parent or guardian of a child under 17 years of age.

Protect your rights and your property by using our professionally prepared up-to-date forms.

This attorney-prepared packet contains:
  1. Instructions and Checklist
  2. Release of Liability and Assumption of Risk
State Law Compliance: This form complies with the laws of all states
This is the content of the form and is provided for your convenience. It is not necessarily what the actual form looks like and does not include the information, instructions and other materials that come with the form you would purchase. An actual sample can also be viewed by clicking on the "Sample Form" near the top left of this page.












Jumper/Bouncer
Release of Liability and Assumption of Risk










This Packet Includes:
1. Instructions and Checklist
2. General Information
3. Jumper/Bouncer Release of Liability and
    Assumption of Risk





Instructions and Checklist
Jumper/Bouncer
Release of Liability and Assumption of Risk

This packet contains a Jumper/Bouncer Release of Liability and Assumption of Risk for use in most states. State law should be reviewed to determine which is applicable and to determine the existence of any state specific requirements.

   Read the Agreement carefully.

   This form contains the basic terms and language that should be included in similar agreements.  Laws vary from time to time and from state to state. You should become familiar with the laws of your state before entering into this type of agreement. In addition, before using the form you should always consult with your attorney to ensure that it addresses your specific situation.







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JUMPER/BOUNCER
RELEASE OF LIABILITY AND ASSUMPTION OF RISK

IN CONSIDERATION OF being permitted to use the Jumper/Bouncer and related facilities, the undersigned acknowledges and agrees to the following:

1.   Participant will abide by all policies and procedures regarding jumper/bouncer activities;

2.   Risks and dangers exist during jumper/bouncer activities. These risks include physical injuries, psychological injuries and even the possibility of loss of life;  

3.   Each person is responsible for his/her actions and those of his/her children on and around the jumper/bouncer and agrees to abide by all posted rules, policies and procedures in order to maintain the utmost level of safety;

4.   I hereby assume all of the risks of participating in the jumper/bouncer activities and will hold the owner/operator and its employees, agents, officers, trustees and affiliates harmless from any and all liability, actions, demands, damages, expenses, costs, claims and causes of action of any possible nature in respect of injury, death loss or damage to myself, child or property however caused as a result of or in any way relating to my activities in and around the jumper/bouncer;

5.   I further agree to indemnify and hold harmless the owner/operator, its employees, agents, officers, trustees and affiliates from and against any and all liability incurred as a result of or in    any manner related to my participation in jumper/bouncer activities;

6.   If, despite the signing of this waiver, a lawsuit is brought against the owner/operator, its employees, agents, officers, trustees or affiliates in relation to participation in the
jumper/bouncer activities, I agree to pay for any and all court costs and attorneys fees incurred as a result of such litigation;

7.   I also declare that neither I nor my children, if applicable, are under the influence of any chemical substance including alcohol at the time of the signing of this release or at the time of participation in jumper/bouncer activities;
 
8.   I agree that if any provision of this release is found to be unenforceable or invalid in any way, the remaining provisions will remain in force and effect;

9.   I fully understand that jumper/bouncer activities involve a certain level of risk of injury.  My participation in these activities and my signing of this waiver are completely voluntary.

   __________________________________________________________
   Signature of Participant or Parent/Guardian of Child 17 years or younger
   __________________________________________________________
   Name of Child(ren)
   __________________________________________________________
   Date
Number of Pages2
DimensionsDesigned for Letter Size (8.5" x 11")
EditableYes (.doc, .wpd and .rtf)
UsageUnlimited number of prints
Product number#29234

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