BOUNCE HOUSE WAIVER

PLEASE READ THE FOLLOWING carefully before signing this waiver of liability.

On behalf of all children and adults in our care participating in activities at involving the inflatable bounce houses, I acknowledge and agree to the terms and conditions of this waiver as identified below:

  1. There are risks, both known and unknown, using any inflatable or amusement device, including, but not limited to physical injury, emotional injury, distress, paralysis and even death. The risk of serious injury from participating in inflatable bounce house activities, although minimal, does exist, as it does in all play and amusement activities.
  2. If the inflatable bounce house is being used outdoors, We take responsibility to make sure the bounce house is setup correctly. If there are wind gusts up to 10 MPH, we will remove all individuals from the inflatable bounce house and deflate it to insure safety of all participants.
  3. Should any children be dropped off in our care for use of the inflatable bounce house, I will inform them to follow all rules of participation and will trust their judgment or the judgment or my representative in their safe participation. I understand Church on the Hill does not provide a sitting service and is not responsible in their safe participation.
  4. I, on behalf of myself, my children, my family members, children in my care, my heirs and my guests, knowingly and freely assume all risks of injury and agree to hold harmless Church on the Hill, its staff and volunteers with respect to any claims, demands, causes or rights of action, even if arising from the actions, acts of omission or negligence of said entities or individuals.
Bounce House Agreement

Parent / Guardian Information

Parent/Guardian Name
Parent/Guardian Name
First
Last
Do you regularly attend church?

Child #1 Information

Child #1 Name
Child #1 Name
First
Last
I want to register another child.

Child #2 Information

Child #2 Name
Child #2 Name
First
Last
I want to register another child.

Child #3 Information

Child #3 Name
Child #3 Name
First
Last
I want to register another child.

Child #4 Information

Child #4 Name
Child #4 Name
First
Last
I want to register another child.

Child #5 Information

Child #5 Name
Child #5 Name
First
Last
I want to register another child.

Child #6 Information

Child #6 Name
Child #6 Name
First
Last
I want to register another child.

Child #7 Information

Child #7 Name
Child #7 Name
First
Last
I want to register another child.

Child #8 Information

Child #8 Name
Child #8 Name
First
Last

I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY AGREEMENT, FULLY UNDERSTAND ITS TERMS AND FULLY UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS FOR MYSELF AND THOSE FOR WHOM I HAVE ASSUMED RESPONSIBILITY. BY MY SIGNATURE, I FREELY AND VOLUNTARILY AGREE TO THESE TERMS.

Signature
Responsible Person Name
Responsible Person Name
First
Last

The Church on the Hill, A Baptist Fellowship

101 Gum Springs Church Road, Jefferson, GA 30549

706-607-6007