Sign Waiver | Buckley's Indoor Trampoline Park

Digital Waiver & Liability Form

Please provide accurate information for the participant

First Name *

Last Name *

Date of Birth *

Email Address *

Phone Number *

Participant Type *

This information is crucial for your safety

Emergency Contact Name *

Relationship *

Emergency Contact Phone *

Please read carefully and sign below

In consideration of being permitted to participate in activities at this facility, I acknowledge and agree to the following:

1. ACKNOWLEDGMENT OF RISKS: I understand that participation in recreational activities involves inherent risks including:

2. ASSUMPTION OF RISK: I voluntarily assume all risks associated with participation.

3. RELEASE AND WAIVER: I hereby release the facility from any and all liability.

4. MEDICAL AUTHORIZATION: I authorize emergency medical treatment as necessary.

5. RULES AND REGULATIONS: I agree to follow all posted rules and safety guidelines.

I have read, understood, and agree to the terms of this waiver and release of liability. *

I agree to follow all facility rules and safety guidelines. *

Signature *

Sign using your mouse or finger

Thank you for completing the digital waiver. You are now ready to jump!

Participant -

Date of Birth -

Submission Date -

Confirmation # -

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