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Jump Beyond Release of Liability Waiver.

Health Certification:  As the participant, or as the parent(s) or legal guardian(s) of the player identified, I certify that I, or the player, is in good health and has no physical, or other impairment, which would endanger myself, or the player, when participating in activities at Jump Beyond. I certify that I, or the player, has not had any direct contact with anyone diagnosed with the Corona Virus/Covid-19. If I, or the player, comes into contact with anyone I will immediately notify anyone I have come in contact with, including Jump Beyond staff.  I understand it is MY responsibility to ensure myself, or the player, is healthy and free of cold, flu or covid like symptoms, prior to participating in any activities at Jump Beyond.

Hold Harmless: As lawful consideration for the named player being permitted to participate in activities at Jump Beyond, I agree that neither the player nor I will make a claim against, sue, attach the property of or prosecute Jump Beyond, including its owners, agents, and employees, for damages for death, personal injury or property damage which the I, or the player, may sustain as a result of participating in activities at Jump Beyond. This release is intended to discharge in advance, Jump Beyond owners, agents and employees from and against any and all liability, including for its negligent actions, arising out of or connected in any way with the player's participation. Jump Beyond, its agents, employees and officers have no obligation to supervise children at the close of any activity.  I release Jump Beyond, its officers, employees and agents from any liability resulting from lack of supervision of the player at the close of any activity.

Medical Release:  I give permission for Jump Beyond to seek any necessary emergency medical treatment for myself or the player. I further understand and acknowledge that sports involves physical contact between players, that serious accidents occasionally occur, and that participants occasionally sustain serious personal injuries as a consequence thereof. Understanding the risks of participation, nevertheless, I hereby agree that I, and the player, assume those risks and I release and hold harmless Jump Beyond, including its owners, agents, and employees, who (through negligence or carelessness) might otherwise be liable to me, the player (or our heirs or assigns) for damages.

Photo Release:  I give permission for Jump Beyond to take and use any photos or digital images of myself, or the player, on social media, news releases, advertisements, etc.  I understand that others are often taking pictures for use on their own social media and I release the use of any photos or digital images of myself.

Gym Rules:  I understand there is no food or drinks allowed in the gym, except for water.  There is no gum allowed in the gym. There are no black or hard soled shoes allowed in the gym.

First Participant/Visitor Name

First Name*

Last Name*

Phone*
First Participant/Visitor Date of Birth*
First Participant/Visitor Signature*
Second Participant/Visitor Name

First Name*

Last Name*
Second Participant/Visitor Date of Birth*
Third Participant/Visitor Name

First Name*

Last Name*
Third Participant/Visitor Date of Birth*
Fourth Participant/Visitor Name

First Name*

Last Name*
Fourth Participant/Visitor Date of Birth*
Fifth Participant/Visitor Name

First Name*

Last Name*
Fifth Participant/Visitor Date of Birth*
Sixth Participant/Visitor Name

First Name*

Last Name*
Sixth Participant/Visitor Date of Birth*
Seventh Participant/Visitor Name

First Name*

Last Name*
Seventh Participant/Visitor Date of Birth*
Eighth Participant/Visitor Name

First Name*

Last Name*
Eighth Participant/Visitor Date of Birth*
Ninth Participant/Visitor Name

First Name*

Last Name*
Ninth Participant/Visitor Date of Birth*
Tenth Participant/Visitor Name

First Name*

Last Name*
Tenth Participant/Visitor Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
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.
Parent or Guardian's Name

First Name*

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
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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