In Consideration of being allowed to enter the play area and/or participate in any party and/or program at Party Jump of Paris, TN, the undersigned, on his or her behalf, and on the behalf of the participant(s) identified below, acknowledges, appreciates and agrees to the following conditions:

I represent that I am the parent or legal guardian of the participant(s) named below, or I have obtained permission from the parent/legal guardian of the participant(s) named below to execute this agreement on their behalf.  I agree that the participant(s) named below and I shall comply with all stated and customary terms, posted safety signs, rules, and verbal instructions as conditions for participation in any party and/or program at Party Jump.  In addition, if I observe any hazard during our participation, I will bring it to the attention of the nearest Party Jump employee or official immediately;

I am aware that there are inherent risks associated with participation in Party Jump programs, parties, and/or use of the play area and inflatable equipment and I, on behalf of myself and the participant(s) named below, knowingly and freely assume all such risk, both known and unknown, including those that may arise out of the negligence of other participants; and,

I, for myself and the participant(s) named below, and our respective heirs, assigns, administrators, personal representatives, and next of kin, hereby release and hold harmless, Schemes & Themes, LLC, DBA Party Jump of Paris, TN and 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 Party Jump programs, activities, parties, the use of the play area and/or inflatable equipment.


_________________________________________________________________
Participant NameParticipant Date of Birth

_________________________________________________________________
Participant NameParticipant Date of Birth

_________________________________________________________________
Parent/Guardian SignatureDate

____________________________________________________________________
Parent/Guardian Printed Name

_________________________________________________________________
AddressCity, State, Zip

_________________________________________________________________
Emergency Contact Phone #   E-Mail (optional)
pArTy JuMp
by Schemes & Themes, LLC
Socks Required