Bounce House Safety Rules Acknowledgment Form
Please review and acknowledge the safety rules before participating in bounce house activities. Your acknowledgment helps ensure a safe and enjoyable experience for everyone.
Participant Name
*
First Name
Last Name
Parent or Guardian Name (if participant is under 18)
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Please carefully read the following safety rules before acknowledging below:
- Remove shoes, jewelry, and sharp objects before entering the bounce house.
- No food, drinks, or gum allowed inside the bounce house.
- No flips, wrestling, or rough play.
- Always enter and exit the bounce house safely and under supervision.
- Maximum occupancy and weight limits must be observed at all times.
- Adult supervision is required at all times during use.
- Do not use the bounce house if weather conditions are unsafe (e.g., high wind, rain).
- Immediately report any damage or unsafe conditions to the event organizer.
By checking below, you acknowledge that you have read, understood, and agree to follow all bounce house safety rules.
Signature
*
Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Acknowledgment
Submit Acknowledgment
Should be Empty: