instructions

Please read and acknowledge the sections on this waiver form by checking the boxes at the end of each section.

We will also require general contact information and a signature for yourself or if you are a parent/guardian on the final page before you click “Submit”.

Attendants are required to view the success screen on your device OR your confirmation emails, when signing multiple waivers. Follow all operator instructions and have a fun experience!

Waiver and Release of Liability

In consideration of the services of Cincinnati Circus Company LLC, Juggler Dave and Friends, their agents, owners, officers, volunteers, participants, employees, and all other Persons or entities acting in any capacity by, through, under or on their behalf (hereinafter collectively referred to as “CCC” ), it’s agents, owners, officers, volunteers, participants, employees, and all other Persons or entities acting in any capacity by, through, under or on their behalf (hereinafter included in “CCC,” I hereby agree to release, indemnify, and discharge CCC, on behalf of myself, my spouse, my children, my parents, my heirs, assigns, personal representatives and estate as follows:

Section 1.1

I acknowledge that my participation in Inflatable rides, trackless train, dunk tank, climbing wall, mechanical rides, tricycle, and other circus instruction entails known and unanticipated risks that could result in physical or emotional injury, paralysis, death, or damage to myself, to property, or to third parties.

I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity

The risks include, among other things: The hazards of slips and falls; rope burns; pinches, scrapes, twists, and jolts that could result in scratches, bruises, sprains, lacerations, fractures, concussions or even more severe life-threatening hazards.

Further risks include: Being struck by objects dislodged or dropped from above; the hazards from using safety ropes and equipment; the risks of falling off the ride; the risks of landing improperly; the risks of being entangled in safety lines; my own physical condition, the physical exertion associated with this activity and the negligence of other participants, or other persons who may be present.

I have read and understand section 1.1 (check box) *Yes

Section 1.2

Furthermore, CCC employees have difficult jobs to perform. They seek safety, but they are not infallible, and among other things:

They may be unaware of a participant’s fitness or abilities.
They may misjudge the weather or other environmental conditions.
They may give incomplete or inaccurate instructions or warnings
The equipment being used may have malfunctions.

Knowing this information:

I expressly agree and promise to accept and assume all of the risks existing in this activity.
I participate in this activity voluntarily, and I elect to participate despite the risks.

Therefore, I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless CCC from and against any claims, demands, suits, judgments, damages, liability, cost or expense, or causes of action, which are in any way connected with my participation in any activity at CCC or my use of any CCC equipment or facilities, including but not limited to those alleging negligent acts or omissions of CCC.

I have read and understand section 1.2 (check box) *Yes

Section 1.3

Should CCC or anyone acting on their behalf, be required to incur attorney’s fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs.

I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bear the costs of such injury or damage myself. I further certify that I am willing to assume the risk of any medical or physical condition I may have.

Notwithstanding anything to the contrary herein, if I file a lawsuit against CCC, I agree to do so solely in the state of Ohio, and I further agree that the substantive law of Ohio shall apply in that action without regard to the conflict of law rules of that state.

I agree that if any portion of this agreement is void or unenforceable, the remaining document shall remain in full force and effect.

I have read and understand section 1.3 (check box) *Yes

Section 1.4

By signing this document, I acknowledge that if anyone is hurt or property is damaged or lost during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against CCC based on any claim from which I have released them herein.

I have had sufficient opportunity to read this entire document.

I have read and understood it, and I agree to be bound by its terms.

I have read and understand section 1.4 (check box) *Yes

Signature

Please fill out and sign the document below and then click submit.

Who is this waiver for?Myself (Adult)Minor under 18 (Filled out by Parent/Guardian)

First Name *

Last Name *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Participant Phone *

Today's Date *

Participant Date of Birth *

Participant Email *

Confirm Email Address *

Participant Signature *

Parent/Guardian Full Name *

Minor Participant Full Name *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Parent/Guardian Phone *

Today's Date *

Minor Participant Date of Birth *

Parent/Guardian Email *

Confirm Email Address *

Parent/Guardian Signature *