Apr 05


To download free Liability waiver form in PDF, please click Jump Liability Waiver

Jump On It Participant Agreement, Release, and Assumption of Risk
Participant Information
Participant Name (s): ______________________________________________________
Address: ______________________________ City:________________________ Zip: _______________
Emergency Contact Name: _____________________________ Phone: _____________________________
Relationship to Participant: ________________________________________
Participant Signature: ________________________________________________ Date: _______________
Parent/Guardian Name (Print Clearly) : _______________________________
Parent/Guardian Signature: _____________________________________ Date: _______________
NOTE: All participants must complete this Liability Waiver. This Liability Waiver will entitle participants to jump for the
duration of the calendar year. At the beginning of each new calendar year participants must sign a new Liability Waiver.



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