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JERSEY JETS GYMNASTICS, INC. LIABILITY, RELEASE and INJURY WARNING

IMPORTANT READ, UNDERSTAND THE FOLLOWING BEFORE SIGNING

RISK OF INJURY WARNING

In consideration of your child’s participation in activities at Jersey Jets Gymnastics, Inc: I state that I understand the nature of this activity and that the student(s) are qualified, in good health, and in proper physical condition to participate in this activity. I also acknowledge that if current conditions change and become unsafe I will immediately discontinue the participation of my child in the activity. Jersey Jets Gymnastics, Inc. is warning that GYMNASTICS AND TUMBLING HAS A RISK OF PHYSICAL INJURY THAT CANNOT BE ELIMINATED. Included are minor injuries and more serious such as broken bones and dislocations. The risk also includes catastrophic injuries such as permanent paralysis or even death from landing or falling onto the back, neck or head. I further understand that there are other risks either not known to me, or unforeseeable at this time. I fully accept and assume all responsibility for injuries, loss, damages, and costs incurred as a result of participation in this activity. 

RELEASE INFORMATION

As a participant or legally responsible person for the students(s) listed above, I recognize the serious risk in gymnastics and tumbling. I assume all responsibility for the student(s) listed above and release Jersey Jets Gymnastics, Inc. and all employees from losses resulting from participation in activities sponsored by Jersey Jets Gymnastics, Inc. This also certifies that the students(s) are physically able to participate in vigorous physical activity and competitive sport. 

SAFETY INFORMATION

All students must be picked up promptly at the end of class. If children are required to wait for your arrival they must not leave the building. Please plan to stay with young children during their class. If you do need to leave your child during their class make sure they know and that the desk has your cell phone number and are aware you will be gone. If you will be late for pick up of your child please make sure to call the gym so we can inform your child, and tell them they should wait in the lobby until you arrive. (856) 273-2822.

 

I hereby release and agree to hold Jersey Jets Gymnastics, INC. harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of the facility, or that may otherwise arise in any way in connection with any services received from Jersey Jets Gymnastics, INC in accords to the Coronavirius/COVID-19 pandemic. I understand that this release discharges Jersey Jets Gymnastics, INC. from any liability or claim that I, my heirs, or any personal representatives may have against the facility with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from Jersey Jets Gymnastics, INC. This liability waiver and release extends to the facility together with all owners and employees.

 

 


Date: July 1, 2025

First Participant's Name
First Name*
Last Name*
Select Gender
First Participant's Date of Birth*
Date of Birth
First Participant's Medical Information
Asthma, allergies, previous injuries, etc.
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Second Participant's Medical Information
Asthma, allergies, previous injuries, etc.
Third Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Third Participant's Medical Information
Asthma, allergies, previous injuries, etc.
Fourth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Fourth Participant's Medical Information
Asthma, allergies, previous injuries, etc.
Fifth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Fifth Participant's Medical Information
Asthma, allergies, previous injuries, etc.
Sixth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Sixth Participant's Medical Information
Asthma, allergies, previous injuries, etc.
Seventh Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Seventh Participant's Medical Information
Asthma, allergies, previous injuries, etc.
Eighth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Eighth Participant's Medical Information
Asthma, allergies, previous injuries, etc.
Ninth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Ninth Participant's Medical Information
Asthma, allergies, previous injuries, etc.
Tenth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Tenth Participant's Medical Information
Asthma, allergies, previous injuries, etc.
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address
Email
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Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
Photo Release
Secondary Contact Information (must be different from main contact)
First and Last Name *
Phone Number *
Email Address *
Relationship to Student *
Reason for Waiver
Reason for Waiver*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Last Name*
Relationship*
Phone*
Select Gender
Parent or Guardian's Date of Birth*
Date of Birth
Parent or Guardian's Medical Information
Asthma, allergies, previous injuries, etc.
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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