Trampoline Waiver - Grand Slam

SOUTHEAST ENTERTAINME NT ENTERPRISES, INC.P ERPETUAL PARTICIPANT AGREEMENT, RELEASE AND ASSUMPTION OF RISKI UNDERSTAND THAT BY EXECUTING THIS AGREEMENT I AND MY MINOR CHILD AND/ORL EGAL WARD ARE GIVING UP ANY RIGHT TO BRING A LEGAL ACTION OR ASSERT THE CLAIMAGAINST SOUTHEAST ENTERTAINMENT ENTERPRISES, INC., GRAND SLAM SPORTS, AND ALLOTHER RELEASEES IDENTIFIED HEREIN, FOR NEGLIGENCE OR FOR ANY DEFECTIVEP RODUCT ON ITS PREMISES.MUST BE AT LEAST 18YEARS OLD TO FILLOUT THIS SECTION( Allm inors must be listed on p age 2)S ignatureofAdultP articipant( At least 18 years old)o r Parent/Guardia n: ___________________________________P rintName(Adult P articipanto r Parent/Guardian ): _____________________________________________________E mail:_______________________________________________P hone:__________________________________A ddress : ________________________________ __ C ity: ____________________S tate: _______Z ip: __________T oday’sDate: _______________ _Parent/Guardian and/or Adult P articipantD OB (MM/DD/YYY Y): |__ _/___/_____|M inor Name:DOB (MM/D D/YYY Y)|__ _/___/_____|M inor Name:DOB (MM/D D/YYY Y)|__ _/___/_____|M inor Name:DOB (MM/D D/YYY Y)|__ _/___/_____|M inor Name: DOB (MM/D D/YYY Y)|__ _/___/_____|S outheast Entertainment Enterprises, Inc. , All Rights Reserved. 12425River Ridge Blvd. Burnsville,MN 55337- Page2 o f 2