Name

Organization

Event Address

City

StateZip

Email

Mobile Phone

Referred By

Event Name

Start

End

Surface

Delivery Type

Tax Exempt?

Accidental Damage Waiver: Would you like to purchase the RESIDENTIAL Equipment Damage Waiver protection plan? For 10% of your rental fee, you can Get Your Jump On without the added worry of accidental damage. We will waive any unintentional damage that happens to our equipment during your rental, excluding intentional damage or theft. Unintentional damage EXCLUDES the following: silly string, gum, paint, face paint, markers or pen, cuts, slices, punctures by sharp objects such as from animals, shoes or sharps and any damage caused by fireworks, firepits, or cigarettes. As a frame of reference on cost, repairs can average anywhere between $100-$500 for items covered by unintentional damage. MOVING THE UNIT VOIDS THE DAMAGE WAIVER* (Recommended)

Park SetUp

Accidental Damage Waiver

Contact Address      Same as Event Address

Volunteers