Complete a waiver for myself
Complete a waiver for myself and children

Adult Information

( Indicates a required field )

( Age must be at least 18 years old )

Contact Information

Waiver

Please read the waiver below and fill out the required fields found in the following form sections. All liability language from the waiver will apply to all persons listed below.

BUBBLEPOP AGREEMENT TO USE FACILITIES AND SERVICES AND WAIVER OF LIABILITY

 

Acknowledging participation in the activities at OC BubblePOP, the undersigned, on his or her own behalf, and on behalf of any executors, heirs, successors and assigns, hereby acknowledges and agrees as follows:

 

1.  I am fully aware of the risks and hazards connected with the activities which may take place in this facility. Such risks and hazards include but are not limited to: falls on or from the equipment, tripping, collisions with the equipment or with other participants, falls from slipping on floor. I am aware that such activities include the risk of injury and even death, and I hereby elect to voluntarily participate in said activities, knowing that the activities may be hazardous to my property and me. I understand that “BubblePOP” (which includes OC BubblePOP; BubblePOP; ConceptV, Inc; and/or their directors, officers, employees, volunteers, representatives, and agents), does not require me to participate in these activities. I voluntarily assume full responsibility for any risks of loss, property damage, or personal injury, including death, that may be sustained by me, or any loss or damage to property owned by me, as a result of being engaged in such activities, whether caused by the negligence of BubblePOP or otherwise, to the fullest extent allowed by law.

I waive, release, and discharge BubblePOP from any and all liability, including but not limited to, liability arising from the negligence or fault of BubblePOP for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me, including my traveling to and from this activity.

2.  I understand that adult supervision of each minor participant listed below by that minor's parent or authorized caregiver is required at all times. BubblePOP shall not be liable for any injury resulting from absence of adult supervision, including but not limited to, any child leaving the property of BubblePOP without a parent or caregiver.

3.  I agree to indemnify and hold harmless BubblePOP from, without limitation, any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney's fees and costs, incurred due to claims brought by any third-party as a result of or arising out of the my or the Participant involvement in the activities and to reimburse BubblePOP for any such costs, expenses and fees as they are incurred.

4.  I give consent to the use, reproductions, and/or publication of photographs taken within BubblePOP by BubblePOP and/or BubblePOP’s agents. I understand that BubblePOP reserves the right to use digital files and/or reproductions of any images taken of myself or the Participant(s) for the purpose of (and not limited to) printed display, illustration, advertising, competition, promotions, publications or other purposes, including the internet (BubblePOP's website, Facebook, Instagram, etc.). I hereby waive any right to inspect or approve the photographs and/or digital files or any eventual use for which BubblePOP may use these materials. With regard to the foregoing, I will have no claims against BubblePOP, or publishers of these images in the present or future.

5.  This document is intended to be as broad and inclusive as is permitted by the laws of the State of California and if any provision (or a part of any provision) contained herein is deemed to be invalid, the balance of the provisions shall continue in full legal force and effect, notwithstanding such invalidity.

 

Parent or Legal Guardian Certification and Consent – I hereby certify that I am the parent or legal guardian of any minor Participant whose name(s) appears below, and I understand this document is binding not only on myself, but also on the Participant. I have read and I understand all of the provisions of this document and the risks of the activities. I understand that the activities could cause injury and even death. I acknowledge that I have read and understand the terms of this document and I am freely and voluntarily signing this document.

 

I HAVE READ THE ABOVE WAIVER AND BY SIGNING IT, I AGREE IT IS MY INTENTION TO EXEMPT AND RELIEVE BUBBLEPOP FROM ALL LIABILITY ARISING FROM UTILIZING THE FACILITIES.


I acknowledge I have read and understand this waiver and certify that all personal information is correct.
By signing this waiver, I agree that all information is complete and accurate.