Bouncy Castle Permission & Liability Waiver

Date of Event: June 15, 2025

Location: Wa He Lut Indian School Grounds

As part of our Field Day festivities, WHLIS will be providing a bouncy castle with a waterslide for students to enjoy. Safety is our top priority, and the activity will be supervised by staff and follow all safety guidelines. Please review the information below and sign to grant permission for your child to participate.

Important Note About Water Activities

Some Field Day activities may involve water play. Students may get wet if they choose to participate. Please ensure your child brings:

A change of clothes
A towel
Any other items they may need to stay comfortable after water activities

Parent/Guardian Permission

I, the undersigned, am the parent/legal guardian of the named student(s) below. I give permission for my child to participate in the bouncy castle activity during Field Day at Wa He Lut Indian School.

Acknowledgment of Risk & Waiver of Liability

I understand that participation in the bouncy castle and water activities involves physical activity and carries a risk of injury. I acknowledge that WHLIS, its staff, and volunteers will take reasonable precautions to ensure safety, but I accept full responsibility for any risk of injury or loss that may occur.

By signing below, I agree to release and hold harmless Wa He Lut Indian School, its employees, volunteers, and affiliates from any and all liability, claims, or demands arising from my child’s participation in this activity.

Parent/Guardian

Contact Number

Enter your number area code first, dash, 7-digit phone # (your response should NOT contain any spaces)

Email Address

Date Signed

Signature

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1. Student Name

Enter First M. Last

1. Student Date of Birth

2. Student Name

Enter First M. Last

2. Student Date of Birth

3. Student Name

Enter First M. Last

3. Student Date of Birth

4. Student Name

Enter First M. Last

4. Student Date of Birth

5. Student Name

Enter First M. Last

5. Student Date of Birth

Emergency Contact Name

Enter First M. Last of a person other than yourself

Emergency Contact Number

Enter the area code first, dash, 7-digit phone # (your response should NOT contain any spaces)