Allstar Sportsplex Inflatable permission

In Consideration of being allowed to enter the play area and/or participate in any party and/or program at Allstar Sportsplex, 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 Allstar Sportsplex.  In addition, if I observe any hazard during our participation, I will bring it to the attention of the nearest Allstar Sportsplex employee or official immediately;

I am aware that there are inherent risks associated with participation in Allstar Sportsplex 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, Allstar Sportsplex,LLC, 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 Allstar Sportsplex programs, activities, parties, the use of the play area and/or inflatable equipment.

Participant Name:______________________________Date of Birth:_________

Participant Name:______________________________Date of Birth:_________

Parent/Guardian Signature:_________________________Date:_____________

Parent/Guardian Printed Name:_______________________________________

Address:________________________________City:_____________State:____

Emergency Contact Phone #:_______________________

Email Address:________________________________(optional)

□I do not wish to receive emails regarding party info □I do not wish to receive emails regarding Allstar Pizza Specials