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SOCKS REQUIRED
IN BEING ALLOWED TO ENTER THE FACILITIES AND/OR PARTICIPATE IN ANY PARTY
AND/OR EVENT AT PARTY CENTRAL T.I.F. THE UNDERSIGNED ON HIS/HER BEHALF AND ON
THE BEHALF OF ALL PARTICIPANTS LISTED BELOW, ACKNOWLEDGES, AND AGREES TO
THE FOLLOWING CONDITIONS:
I agree to comply with any and all stated and/or written rules and conditions for participation in
any event, party, or program at PARTY CENTRAL T.I.F. In addition, if I witness any hazard during
my visit, I will bring it to the attention of the nearest employee immediately.
I am aware that there is a risk of injury from any and all equipment inflatable or other, and while
personnel, rules, equipment and personal discipline can reduce this risk, the risk still exists. I
knowingly and freely assume all such risks, both known and unknown, even if arising from the
negligence of others, and
I, on behalf of myself, my heirs, and those with whom I am responsible, assign, personal
representatives, and next of kin, to herby hold harmless; PARTY CENTRALT.I.F. of Benton AR and
PARTY CENTRAL LLC. their affiliates, officers, employees, sponsors, and any other participants with
respect to any and all injury, disability, or loss or damage to persons or property to the fullest extent
of the law.
_______________________________ _______________________/____/____
ADULT/GUARDIAN (PRINT) PARTICIPANT NAME / DATE OF BIRTH
__________________/___/__ ___________________/____/___
SIGNATURE DATE PARTICIPANT NAME / DATE OF BIRTH
________________________ ________________________/____/____
ADDRESS PARTICIPANT NAME / DATE OF BIRTH
_______________________________ ___________________________________
CITY STATE EMERGENCY PHONE (If Dropping Off )
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