Waiver and
Release form
Ready to book a party or join our next event?

Please read and complete the waiver and release form below for you and your family.  Forms are also available on site and must be submitted to participate at Regal Palace. 

Regal Palace Industries 6050 19 Mile Rd Sterling Heights, MI 48314

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WELCOME to Regal Palace Industries, your indoor inflatable party place.  We strive to provide a safe, clean and fun atmosphere for you and your child(ren).  PLEASE READ THE FOLLOWING carefully before signing this waiver of liability.    
On behalf of myself, my children and children in my care participating in activities at the Regal Palace Industries, I acknowledge and agree to the terms and conditions of this waiver as identified below:

1. There are risks, both known and unknown, using any inflatables, video gaming, amusement devices, or virtual reality including, but not limited to physical injury from falling, slipping, crashing, or colliding, emotional injury, distress, paralysis and even death.  The risk of serious injury from participating in Regal Palace Industries activities, although minimal, does exist, as it does in all play and amusement activities.

2. I and the children in my care who will participate in any Regal Palace Industries activities are physically, mentally and emotionally fit to participate in such activities.

3. Should I drop off my children or children in my care for shut In nights or party activities, I will inform them not to leave the Regal Palace Industries until I or my designated representative return to pick them up.  I will inform them to follow all rules of participation and will trust their judgment or the judgment or my representative in their safe participation.  I understand the Regal Palace Industries staff does not provide a sitting service and is not responsible in their safe participation.  I understand the Regal Palace Industries staff does not provide a sitting service and is not responsible for participant actions.

4. A set of rules and directions are either displayed on the jump units or have been provided to the undersigned which I agree to follow and utilize at all times during operation and use of the units. Failure to explicitly follow the rules will lead to the immediate expulsion from Regal Palace Industries.

5. I, on behalf of myself, my children, my family members, children in my care, my heirs and my guests, knowingly and freely assume all risks of injury and agree to hold harmless Regal Palace Industries, its owners, managers, agents and employees with respect to any claims, demands, causes or rights of action, even if arising from the actions, acts of omission or negligence of said entities or individuals.

I hereby voluntarily and expressly release, indemnify, forever discharge and hold harmless, Regal Palace Industries. If anyone acting on behalf of Regal Palace Industries be required to incur attorney’s fees and costs to enforce this agreement, I expressly agree to indemnify and hold Regal Palace Industries harmless for all such fees and costs. In the event, I, the undersigned, for myself, my child or ward, file a lawsuit against Regal Palace Industries, it is agreed to do so solely in the state of Michigan. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect in consideration of being permitted by Regal Palace Industries to use its equipment and facilities, the undersigned and/or their participants and which are in any way connected with such use of participation.

6. I hearby give Regal Palace Industries  and it's empoloyees , representatives and authorized media orginaizations  permission to print, photograph and record my self and child /children for use in audio, video, film or any other electronic digital printed media or social media. 

I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY AGREEMENT, FULLY UNDERSTAND ITS TERMS AND FULLY UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS FOR MYSELF AND THOSE FOR WHOM I HAVE ASSUMED RESPONSIBILITY.  BY MY SIGNATURE, I FREELY AND VOLUNTARILY AGREE TO THESE TERMS.

               
Parents full Name
Email
Phone
Address
Parents Signature
Children Full Names & Birth Dates
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Regal Palace Family Entertainment 
 
6050 19 mile rd,
Sterling Heights, MI
 

(586) 264-7900