Please complete the waiver and bring it with you about 15 minutes before the party.

PLEASE NOTE that we will not allow participation without a signed waiver. Feel free to contact us with any questions or concerns by phone at 1.800.875.7946.

THANKS FOR COMING AND HAVING FUN WITH US!

In Consideration of being allowed to enter the play area and/or participate in any party or program at Superior Play Systems, the undersigned, on his or her own behalf, and on 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 Superior Play Systems. If I observe any hazard during our participation, I will bring it to the attention of the nearest employee or staff member immediately. I am aware that there are inherent risks associated with participation in programs, parties and/or use of the play area and equipment. These risks include, but are not limited to death, serious injury, and property loss. I, on behalf of myself, and the participants named below, knowingly and freely assume all such risk, both known and unknown, including those that may arise out of the (i) negligence or carelessness on the part of the persons or entities being released and other participants, or (ii) dangerous or defective equipment. I, on behalf of myself, and the participants named below, waive all claims for damage to person or property arising from participation in activities at Superior Play Systems. I, on behalf of myself and the participants named below, certify that we are physically fit and may participate in the activities available at Superior Play Systems and have not been advised otherwise by a qualified medical person. I, for myself and the participants named below, and our respective heirs, assigns, administrators, personal representatives, and next of kin, hereby release and hold harmless Superior Play Systems, 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 an any and all Superior Play Systems programs, activities, parties, and the use of the play area and/or equipment. I, for myself and the participants named below, acknowledge that this release and waiver of liability form will be used and relied upon by the Released Parties, and that it will govern my, and the participants named below, actions and rights.

Todays Date: Parent/Guardian Printed Name: Parent/Guardian Signature: Participant Name: Participant Name: Participant Name: Address: Emergency Contact Phone: Email Address: City: Date of Birth: Date of Birth: Date of Birth: State: Zip: