RELEASE FORM — Children 2 and under

choking hazard release form

Balloon are a serious CHOKING HAZARD for children ages 2 and under. When a young child, age 2 and under, puts a balloon in their mouth and it pops, the debris could potentially block their airways. It is very difficult to remove balloon debris because it will stick to their throat.

LIABILITY RELEASE TERMS

If you, the parent of a child age 2 and under, choose to allow your young child/infant to receive a balloon you AGREE TO LEGALLY RELEASE ME FROM FULL LIABILITY if your child puts the balloon in their mouth, despite being fully informed about the choking risks involved. You accept full responsibility of all consequences.

In order for an underage child to receive a balloon, you must fill out the Liability Release Form below.

Please Fill Out the Liability Release Form Below:

If you choose to agree to these terms, you agree that you RELEASE ME FROM ALL LIABILITY knowing the choking risks involved with giving a child, 2 and under, a balloon.

I CONFIRM that I have been fully informed of the RISKS involved with giving a balloon to my underage child.

I CONFIRM that I have read the full terms of this policy and I AGREE to these terms.

Parent/Guardian Responsible for Allowing Young Child (age 2 and under) to Receive a Balloon

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Child's Name

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