Moon Bounce - Inflatable Release (Australia)

This Jumper/Bouncer Release of Liability and Assumption of Risk is designed for use in Australia.

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This Release of Liability and Assumption of Risk is signed by a user (or the legal guardian of a minor) before using a Jumper, Bouncer or Moon Bounce (also known as Moon Walks, Moon Jump, Bouncy House, Bouncy Castle, Bouncy Cat, Slide Bouncer or Inflatable). The agreement releases the owner or organizer of an event from liability stemming from the user's participation and use of such inflatable devices.

This lawyer-prepared packet includes:
  1. Instructions and Checklist
  2. General Information
  3. Jumper/Bouncer Release of Liability and Assumption of Risk for use in Australia
Law Compliance: This form complies with the state and territory laws of Australia
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
(Australia)

 

 
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 lawyers 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 Pages5
DimensionsDesigned for Letter Size (8.5" x 11")
EditableYes (.doc, .wpd and .rtf)
UsageUnlimited number of prints
Product number#33923
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
(Australia)

 

 
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 lawyers 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
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