Parent/Guardian Information

Child/Participant Information

Party Host Grouping

Waiver Text Block

By submitting this form, I confirm that I am the parent or legal guardian of the child listed above and understand the risks associated with participation in JumpTown USA activities. I release JumpTown USA, its staff, and affiliates from any liability, injury, or damages resulting from participation, even if arising from negligence.

I acknowledge that:

• My child is in good health and able to participate in play activities.
• I understand JumpTown USA’s safety policies and agree to comply.
• I am responsible for any costs related to medical treatment as a result of participation.

This waiver shall remain in effect for future visits until revoked in writing.

Signature

Date