Before you play
Accident waiver and release of liability. Read it, fill in your details, and sign at the bottom.
Leave this empty
Any state, passport or other government ID number.
Will you be spinning fire? *
Fire spinners also sign JaJa’s Fire Art Performer conditional use permit (Portland Fire & Rescue form PF&R #300.05FA). Your signature below covers it too. The permit also needs your mailing address and a photo of your ID.
Photo of your ID *
The permit requires state-issued photo ID. Take a clear photo of the front of your driver's license or state ID.
Location of use
819 SE Taylor St, Portland, OR 97214
Conditions of use: fire performance art
Fire performer safety requirements
Sign as the participant.
Signed
Thanks. Your waiver is on file.
Download your waiver Download your fire permit Sign another