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Fillable Printable Injury Waiver Template

Fillable Printable Injury Waiver Template

Injury Waiver Template

Injury Waiver Template

First Name:
Birth date:
Last Name:
I confirm that the above child is under 18 years old but above 3 years of age and that the child is over 1 meter tall.
I wish the child to participate in indoor trampoline activities including, but not limited to trampolining, trampoline park
access, trampoline dodgeball, café access, (collectively hereinafter called “the Activity”) organised by Reboot Leisure
Limited (trading name Bounce Trampolining).
I declare that I am the parent or legal guardian of the child or I have authority from the child’s parent or legal guardian to
sign this Waiver Form.
I agree that the child will carry out the activity in accordance with the specific safety instructions that will be given before
undertaking the activity.
I agree that the child will wear any safety equipment provided by Bounce Trampolining in accordance with the safety
instructions and that he/she will follow the directives of Bounce Trampolining, its management and staff at all times.
I confirm that the child is in good physical condition and has no medical impairment that might prevent him/her from the
intended use of Bounce Trampolining.
I acknowledge that Bounce Trampolining did not give me medical advice relating to the child’s physical condition and
ability to use the facilities.
I acknowledge that the Activity is potentially dangerous and that by participating in the Activity the child will be exposed
to the possibility of personal injury.
I hereby indemnify Bounce Trampolining against all claims made by any other person against Bounce Trampolining in
respect of any injury, loss or damage arising out of or in connection with the failure to comply with the safety instructions
and /or directions of Bounce Trampolining, its management or staff.
Address:
Signed:
date:
phone:
email:
under 18
Injury Waiver and General Release Form
I acknowledge that I have read and fully understand the above prior to my signing below and I confirm acceptance
of Bounce terms & conditions and privacy policy as outlined on www.bouncegb.com
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