Name *

First Name

Last Name

Phone

(###)

###

####

Child info *

Please select which apply ( children 3 and under not permitted)

age 4-7

Ages 7-9

Age 9-12

Ages 13+

Supervision *

I understand I am responsible for the supervision and behavior of the child(ren) listed on this form during their use of inflatable equipment. I will remain within visibility of them at all times

I agree

Assumption of Risk *

I understand that the use of inflatables involves physical activity and inherent risks including, but not limited to, falling, collisions, tripping, and equipment-related injuries.

I agree

Responsibility & safety *

By submitting this form, you acknowledge and agree that you are solely responsible for the safety and supervision of your child(ren) while participating in any inflatable activities provided by Magic Pixie Entertainment Ltd. You understand that inflatables are physical in nature and carry inherent risks, and it is your responsibility to ensure that your child(ren) only use inflatables that are appropriate for their age, size, and physical ability. Magic Pixie Entertainment Ltd. is not liable for any injuries, accidents, or damages that may occur during the use of inflatable equipment. Submission of this form indicates your full acceptance of these terms. You must choose agree to enter

I agree

Appropriate Use Acknowledgement

I agree to ensure that the inflatable(s) used by my child(ren) are appropriate for their age, size, and ability. I understand that mixing age groups can increase risk.

I agree

Medical Acknowledgement *

To my knowledge, my child(ren) have no medical conditions or injuries that would make participation unsafe

I Agree

Emergency contact *

In case of an emergency, I give permission for staff to contact emergency medical services and understand I am financially responsible for any costs incurred.

I agree

Release of Liability *

I hereby release, waive, and discharge Magic Pixie Entertainment Ltd., its owners, staff, and affiliates from any and all liability, claims, demands, or causes of action arising out of or related to any loss, damage, or injury that may occur during participation

I agree