R&B Membership Intake Form

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Please fill all required fields.

Email *

Name *

Address *

Phone *

Are you 18 yrs of age or older? *

Yes

I have submitted a non-refundable $5 start-up fee for my R&B Bounce House Membership *

Yes

*Tap link to be directed to payment center* https://py.pl/1lIjaB

I have read and agreed to R&B Bounce House LLC terms of use and privacy policy *

Agree

Disagree

I understand that any false information given or the misuse of my R&B Membership will result in immediate termination without notice. see R&B Bounce House terms of use. *

I agree

I disagree

By typing your full legal name, you (Consumer) acknowledge this form to be a legally binding contract between yourself (Consumer), R&B Bounce House llc and its affiliates. *

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