1495 Tonne Road, Elk Grove Village 60007,  847-690-1100   

INDIVIDUAL LIABILITY WAIVER

3 Lane Bungee Run, 3N1 Bungee Challenge, Adrenaline Rush, Adrenaline Rush Extreme, Archery Tag, Blaster Ball, 
Bouncy Boxing, 
Bubble Soccer, Bumper Cars, Bungee Run, Bungee Sports Challenge, Climbing Wall,
Euro Bungy, Gladiator Joust, Hippo Bungee Grab, Human Bowling, Human Foosball, Human Spheres,
Iceless Skating Rink, Jacobs Ladder, Kapow, Mechanical Bull, Mechanical Shark, Meltdown, Obstacle Courses,
Oxygen Bar, Petting Zoo, Pony Wheel, Rock Em Sock Em, Roller Skating Rink, 
Ultimate Joust

THE UNDERSIGNED, by his/her signature hereinafter affixed does acknowledge that any physical activities involve some
element of personal risk and that, accordingly, in consideration for the undersigned waiving his/her claim against
RECORD-A-HIT, Inc., and their agents; the undersigned will be allowed to participate in any of the above activities.

By engaging in this activity, the undersigned acknowledges that he/she assumes the element of inherent risk and,
in consideration for being allowed to engage in the activity, agrees to indemnify and hold RECORD-A-HIT, Inc., and
their agents; harmless from any liability for personal injury, property damage or wrongful death caused by participation
in this activity.  Further, the undersigned agrees to RECORD-A-HIT, Inc, and their agents; harmless from
any and all costs incurred including, but not limited to, actual attorney’s fees that RECORD-A-HIT, Inc, and their agents;
may suffer by any action or claim brought against it by anyone as a result of the undersigned’s use of such facility.

                                                                         


Date of Event                                    Location of Event                                  Contract                    

 X______________________________            X____________________________       

             Participant – Print Name                                        Participant – Signature                

 

X______________________________            X____________________________       

             Parent/Guardian – Print Name                          Parent/Guardian – Signature          

To Download or Print- Select, View and Print Waiver Below

Waiver Multiple – multiple signatures on each page

Waiver 6-2018 Individual – one waiver for each individual