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Bouncy Castle Permission & Liability Waiver

Date of Event: June 4, 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.

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

You may sign with your mouse, trackpad, etc or you may upload an image of your signature.

Enter First M. Last

1. Student Date of Birth
Month
Day
Year

Additional Students

Enter First M. Last

2. Student Date of Birth
Month
Day
Year

Enter First M. Last

3. Student Date of Birth
Month
Day
Year

Enter First M. Last

4. Student Date of Birth
Month
Day
Year

Enter First M. Last

5. Student Date of Birth
Month
Day
Year

Enter First M. Last of a person other than yourself

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