YOU’RE INVITED TO A DRAGON DOJO
KICK IT UP™ BIRTHDAY PARTY
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· In Consideration of being allowed to enter the play area and/or program at Dragon Dojo Martial Arts LLC of Panama City, FL, 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 legal guardian of the participant(s) name bellow, 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 instruction as conditions for participation in any party and/ or program at Dragon Dojo Martial Arts LLC. In addition, if I observe any hazard during our participation, I will bring it to the attention of the nearest Dragon Dojo Martial Arts LLC employee or official immediately;
· I am aware that the are inherent risks associated with participation in Dragon Dojo Martial Arts LLC programs, parties, and or use of the play area and inflatable equipment and I on behalf of myself and 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, administers, personal representatives, and next of kin, herby release and hold harmless Dragon Dojo Martial Arts LLC Affiliates, employees, members, agents and or sponsoring agencies. Against any and all claims , injuries , liabilities or damages arising out of or related to our participation in any and all Dragon Dojo LLC programs, parties, the use of the play area and /or inflatable equipment.
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Parent/Guardian Signature Date Print Name
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Participant Name Date of Birth Participant Name Date of Birth
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Address City St. Zip
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Emergency Contact Phone# Email (optional)