ACKNOWLEDGEMENT OF RISK

ACCEPTANCE OF RESPONSIBILITY

RELEASE OF LIABILITY

This document affects your legal rights. You must read and understand it before signing.

DUTY OF PARTICIPANTS: It is recognized that some recreational activities conducted by Backyard Bouncin’ are hazardous to participants regardless of all feasible safety measures which we can take. All participants shall have a duty to act as a reasonably prudent person when engaging in the recreational activities which are offered by Backyard Bouncin’. I hereby covenant and agree not to:

Act in any way, which shall interfere with the running or operation of Backyard Bouncin’ when such activities conform to the rules and regulations of the Commonwealth of Pennsylvania.

Use any of Backyard Bouncin’s equipment or facilities or services if I do not have the ability to use such facilities, equipment or services safely without instructions until I have requested and received sufficient instructions to permit safe usage.

Engage in any harmful conduct or willfully, or negligently engage in any type of conduct, which contributes to or causes injury to any person.

To embark in any self-initiated activity without first informing Backyard Bouncin’ of my intentions and receiving permission from Backyard Bouncin’ to engage in such self-initiated activity.

ACKNOWLEDGEMENT AND ACCEPTANCE OF RISK: I understand and acknowledge that the activity which I am about to voluntarily engage in as a participant and/or volunteer bears certain known risks and unanticipated risks which could result in injury, death, illness or disease, physical or mental, or damage to myself, to my property, or to spectators or other third-parties. I, being aware that this activity entails risks or injuries to myself and a risk or injury to spectators or third-parties as a result of my actions, expressly agree, covenant and promise to accept and assume all responsibility and risk for injury, death, illness or disease, or damage to myself or to my property arising from participation in this activity. I agree to pay for any damages caused to others (including attorney’s fees and costs) if they are injured or otherwise damaged due to any negligent actions. My participation in this activity is purely voluntary; no one is forcing me to participate, and I elect to participate in spite of the known and unknown risks.

RELEASE: In consideration of the services and/or property provided, I, for myself and any minor children for which I am the parent, legal guardian, or otherwise responsible, any heirs, personal representatives, or assigns, do hereby release Backyard Bouncin’, its principals, directors, officers, agents, employees and volunteers from any liability and waive any claim for damages arising from any cause whatsoever (except that which is gross negligence). I further agree to reimburse you for all attorney’s fees and costs should I bring legal action against you and lose.

ENTIRE AGREEMENT: I understand that this is the entire Agreement between myself and Backyard Bouncin’, its agents or employees, and that it cannot be modified or changed in any way by the representations or statements of any employee of Backyard Bouncin’ or by me.

My signature below indicates that I have read this entire document, understand it completely and agree to be bound by its terms.

DATE: ____________________ SIGNATURE_______________________________________

I CERTIFY THAT I HAVE RECEIVED WRITTEN AND/OR VERBAL OPERATIONAL AND SAFETY INSTRUCTIONS FOR THE RENTED EQUIPMENT AND THAT I UNDERSTAND SAID INSTRUCTIONS.

INITIAL___________________________

ADDITIONAL TERMS:

1. All rental equipment requires adult supervision at all times.

2. Silly String is NOT permitted to come into contact with any rental equipment.

3. Customer is responsible for any and all damages not caused by ordinary wear and tear.

4. A cleaning charge will be assessed to Customer if excessive cleaning of rental equipment is required.

5. Should any equipment develop a problem, cease use of equipment and contact Backyard Bouncin’.

There is $20 fee on all returned checks.

ACKNOWLEDGEMENT OF RISK, ACCEPTANCE OF RESPONSIBILITY, RELEASE OF LIABILITY