Loading...

Jungle Gym Bus, LLC Liability Waiver & Release
www.junglegymbus.com

In exchange for allowing my child to participate in Jungle Gym Bus activities, I agree to the following:

Appreciation and Assumption of Risk: I understand Jungle Gym Bus activities involve gymnastics & fitness equipment such as: zip line, climbing wall, rope tunnel, slide, ninja obstacle course and more. The risk, as with any sport,cannot be avoided no matter how cautious the staff are or what safety equipment is used.

Release of Liability-General Negligence: I release Jungle Gym Bus, its staff, volunteers and hosts for all claims of general negligence associated with mine and my child's participation in the Jungle Gym Bus program. I understand this does not include damages caused by wanton or reckless conduct. I choose to do this freely, on behalf of myself, my child and/or any third party.

Consent for Medical Treatment: I agree if my child requires an ambulance or medical attention, I give Jungle Gym Bus per mission to contact an available medical provider.

Consent for Photo Release: I agree that my child may be photographed for advertising purposes.

I understand my child's participation in Jungle Gym Bus activities is voluntary. I agree to have read, understood and accepted the terms and provisions of this Liability Waiver and Release. I understand by signing below, I give up substantial legal rights.

December 18, 2024

First Participant's Name

First Name*

Middle Name

Last Name*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Middle Name

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

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
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*

Middle Name

Last Name*

Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!