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This is the Jumping Jax LLC Waiver of Liability

In consideration for participation in all activities at Jumping Jax LLC's facility,on April 20, 2024 I hereby agree to the following:

 

I understand that participation in the amusement rides and games owned and operated by Jumping Jax, a Greenwood Limited Liability Company, is risky, and that the risks of injury include, without limitation, scrapes, bruises, cuts, and even more serious injuries, such as paralysis or death, and I fully accept and agree to assume all of these risks (including risks arising from the negligence of other participants), for myself, my child or my ward.

 

I acknowledge and understand that the operator(s) have advised me of the proper use and possible hazards of participating in the activities at Jumping Jax, LLC. I acknowledge that I am solely responsible for the decision to allow myself, my child or my ward to participate in the activities at Jumping Jax, LLC. With full understanding of the risks stated above, I, for myself, my child or my ward, hereby release, and hold harmless Jumping Jax, LLC and the owners, officers, directors, and managers of such entities, and their heirs, successors and assigns, in connection with the participation of myself, my child or my ward in activities at Jumping Jax, LLC.

 

I, for myself, my child, or my ward, agree to follow all the safety rules of Jumping Jax, LLC, and agree that the failure of myself, my child, or my ward to do so may result in expulsion from premises. I also approve the use of any photographs taken by Jumping Jax, LLC photographers in which the undersigned is part of to be used on the Jumping Jax, LLC website or printed media.

 

I HEREBY RELEASE, WAIVE, AND GIVE UP ANY AND ALL CLAIMS, KNOWN AND UNKNOWN, THAT MYSELF, MY CHILD, OR MY WARD MAY NOW OR LATER HAVE AGAINST Jumping Jax, LLC, ITS MEMBER(S), OFFICER(S), INSTRUCTOR(S), OPERATOR(S), AGENT(S), OR REPRESENTATIVES RELATED TO ANY ACT, OMISSION, STATEMENT, OR OCCURRENCE DURING OR RELATED TO THE ACTIVITIES AT Jumping Jax, LLC. CLAIMS FOREVER RELEASE BY MYSELF, MY CHILD, OR MY WARD INCLUDE, WITHOUT LIMITATION, LIABILITY FOR DIRECT, INDIRECT, VICARIOUS, CONSEQUENTIAL, AND INCIDENTAL, PERSONAL INJURY, DEATH, ECONOMIC LOSS AND OTHER DAMAGE OF EVERY KIND WHEREVER OR HOWEVER IT MAY OCCUR.

I Agree

 

By signing this form, I agree and understand that this agreement is binding on myself, my child, or my ward, and the heirs, successors and assigns of myself, my child, or my ward. I certify that I am of legal age and mental competence and that I am the legal parent or guardian of the child for whom I am signing or, if I am not the parent or legal guardian of the child, that I have the express permission of the child’s legal parent or guardian.

 

* Required Information! Please provide first & last names for anyone playing. If you have more than one child playing, you may list them on the same page. If parents will be playing or assisting smaller children while playing, their name must be listed as a child’s name and their signature is required!

 

First Your Name

First Name*

Middle Name

Last Name*

Phone*
First Your Date of Birth*
First Your Signature*
Second Your Name

First Name*

Middle Name

Last Name*
Second Your Date of Birth*
Third Your Name

First Name*

Middle Name

Last Name*
Third Your Date of Birth*
Fourth Your Name

First Name*

Middle Name

Last Name*
Fourth Your Date of Birth*
Fifth Your Name

First Name*

Middle Name

Last Name*
Fifth Your Date of Birth*
Sixth Your Name

First Name*

Middle Name

Last Name*
Sixth Your Date of Birth*
Seventh Your Name

First Name*

Middle Name

Last Name*
Seventh Your Date of Birth*
Eighth Your Name

First Name*

Middle Name

Last Name*
Eighth Your Date of Birth*
Ninth Your Name

First Name*

Middle Name

Last Name*
Ninth Your Date of Birth*
Tenth Your Name

First Name*

Middle Name

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

Email
A signed copy of this waiver will be sent to the email address you provide.
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 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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