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Jumpstreet LLC Release and Parent Guardian Waiver

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Waiver and Release by Parent of Minor Child from Owner Liability for Observatory/Arboretum

I, , on behalf of , (hereinafter referred to as “CHILD”) HEREBY WAIVE AND RELEASE, indemnify, hold harmless and forever discharge and its agents, employees, officers, directors, affiliates, successors and assigns, of and from any and all claims, demands, debts, contracts, expenses, causes of action, lawsuits, damages and liabilities, of every kind and nature, whether known or unknown, in law or equity, that I or CHILD ever had or may have, arising from or in any way related to CHILD’S participation in any of the events or activities conducted by, on the premises of, or for the benefit of, provided that this waiver of liability does not apply to any acts of gross negligence, or intentional, willful or wanton misconduct.

I understand that the activities that said CHILD will participate in are inherently dangerous and may cause serious or grievous injuries, including bodily injury, damage to personal property and/or death. On behalf of myself, CHILD, my heirs, assigns and next of kin, I and said CHILD waive all claims for damages, injuries and death sustained to me, CHILD, or property, that I or CHILD may have against the aforementioned released party to such activity.

CHILD has the necessary and requisite skills to participate in all facets and activities of and requested of this facility except as noted below. The nature of the activities has been fully disclosed and any flyer, advertisement, or brochure relating to the participating activities is expressly made a part of this WAIVER AND RELEASE.

By this Waiver, I, on behalf of said CHILD, assume any risk, and take full responsibility and waive any claims of personal injury, death or damage to personal property associated with , including but not limited to observing the Activity, using the facility and its equipment in any manner, form or fashion, and practicing and/or engaging in any other related activities offered by this facility. I do represent and warrant on behalf of said CHILD that I have been given a general description of and understand the nature of the Activity and what is involved on my part, and CHILD’S part; that CHILD is not suffering from a condition requiring hospital care, medication, medical or surgical treatment, or any other condition which would otherwise limit or in any way restrict CHILD’S observation of and/or participation in the Activity, CHILD’S health and physical condition are such that CHILD is and will be able to fully observe and/or participate in the Activity and that CHILD will voluntarily and immediately refrain from observing and/or participating in the Activity if I or CHILD or others become aware that CHILD’S health or physical condition limits CHILD in any way.

This WAIVER AND RELEASE contains the entire agreement between the parties, and supercedes any prior written or oral agreements between them concerning the subject matter of this WAIVER AND RELEASE. The provisions of this WAIVER AND RELEASE may be waived, altered, amended or repealed, in whole or in part, only upon the prior written consent of all parties.

The provision of this WAIVER AND RELEASE will continue in full force and effect even after the termination of the activities conducted by, on the premises of, or for the benefit of, whether by agreement, by operation of law, or otherwise.

I have read, understand and fully agree to the terms of this WAIVER AND RELEASE. I understand and confirm that by signing this WAIVER AND RELEASE that said CHILD and I have given up considerable future legal rights. I have signed this Agreement freely, voluntarily, under no duress or threat of duress, without inducement, promise or guarantee being communicated to me. My signature is proof of my intention to execute a complete and unconditional WAIVER AND RELEASE of all liability to the full extent of the law.

Medical Conditions.

CHILD is subject to the following allergies or medical conditions, and I authorize the facility to disclose these conditions to a physician or other medical professional in the event said CHILD should require emergency medical care:

Prohibited Activities.

As a result of the above-mentioned medical conditions, I, on behalf of said CHILD, am prohibiting involvements in the following specific activities:

Date

Printed Name of CHILD

Printed Name of Parent (Guardian)

Signature of Parent (Guardian)

Enter text✕

What the Jumpstreet LLC Release and Parent Guardian Waiver Is

The Jumpstreet LLC Release and Parent Guardian Waiver is a legal document used by Jumpstreet trampoline parks to obtain a minor participant’s release of liability and parental consent. Parents or legal guardians sign to acknowledge risks associated with physical activities, to authorize emergency medical treatment, and to waive certain claims against Jumpstreet LLC and its staff. The form typically names the child, parent or guardian, event date, and specific activity, and may include assumptions of risk, indemnification, and photo-release clauses required before participation.

Why this Waiver Matters for Operators and Parents

The Jumpstreet LLC Release and Parent Guardian Waiver documents parental consent, records assumed risks, and helps protect the operator and participants by clearly allocating responsibility. When executed properly it supports enforceability under ESIGN and state e-signature laws such as UETA.

Why this Waiver Matters for Operators and Parents

Who Typically Completes the Waiver

Typical signers include parents or legal guardians who register children for Jumpstreet LLC activities and acknowledge consent and risk.

  • Parents and legal guardians: sign for minors, provide emergency contacts, and certify medical information accuracy.
  • Adult participants: sign their own waiver when age of majority applies per state law.
  • Facility operators: collect, store, and verify waivers; ensure forms are current and notarized if required.

Keep a signed copy for your records and provide a current form for each visit or event.

Core Sections to Include in a Professional Waiver

Essential sections of a Jumpstreet LLC Release and Parent Guardian Waiver define parties, risks, medical authorization, indemnity, media release, and signature acknowledgments.

Parties

Identify the participant (child) and parent or guardian by full legal name, relationship, date of birth, and contact details; ensure names match government ID for emergency and legal accuracy.

Assumption of Risk

A clear statement that the signer understands inherent risks of trampoline activities, consents to participation, and accepts responsibility for injuries not caused by gross negligence or willful misconduct.

Medical Authorization

Authorization for emergency medical treatment if guardian cannot be reached, disclosure of allergies or conditions, and agreement to inform staff of special medical needs prior to participation.

Indemnity Clause

An indemnification clause requiring the signer to release Jumpstreet LLC and affiliated parties from liability and to defend the company against third-party claims arising from the participant’s actions.

Media Release

Consent (optional or required) for photos or videos taken during activities, specifying permitted uses such as marketing, social media, or internal training; include opt-out instructions if available.

Signature Block

Signature, printed name, relationship to participant, date, and contact phone; include space for witness or notary if state law or corporate policy requires additional authentication.

Step-by-Step: Completing the Waiver

Follow these steps to complete the Jumpstreet LLC Release and Parent Guardian Waiver accurately and preserve legal effectiveness.

  • 01
    Gather Information: Collect child and guardian details, emergency contacts.
  • 02
    Complete Fields: Enter names, DOB, address, and medical info.
  • 03
    Review Terms: Read risks, indemnity, and media release carefully.
  • 04
    Sign & Date: Sign in full, date, and initial designated pages.

Setting Up an Online Waiver Template

Configure an online waiver template to capture fields, conditional questions, and signature authentication before sending to guardians for e-signature.

Template Field Name and Purpose Configuration Option | Recommended Default Setting
Signature Field and Authentication Method Required | Type: e-signature with audit trail
Conditional Medical Questions Triggering Fields Show allergy fields if parent indicates medical conditions
Emergency Contact Verification and Capture Require name, relationship, phone; validate phone format
Waiver Versioning and Effective Dates Include effective date field and version ID for recordkeeping

Where to File or Send Completed Waivers

Route completed Jumpstreet LLC waivers to records, on-site staff, and a secure digital archive for incident response and participant verification.

  • On-Site: Provide original signed copy to front desk staff for participant check-in.
  • Digital Archive: Store PDF with audit trail in secure cloud or venue records.
  • Emergency Access: Enable quick access for medical or liability incidents; include contact info.
  • Third-Party Requests: Provide copies to insurers or counsel after verifying authorization.

Technical Considerations for e-Signing and Storage

For e-signature workflows, choose a platform that supports secure authentication, a tamper-evident audit trail, and HIPAA BAA if health data is captured.

  • Authentication: Email, SMS code, or stronger MFA
  • Audit Trail: Timestamp, IP, action log retained
  • Compliance: HIPAA BAA, ESIGN, UETA, AES options

Timing and Important Deadlines to Watch

Key timing considerations include pre-visit signing, retention for incident response, and deadlines for record requests or insurance claims.

Mandatory Pre-Visit Waiver Completion Policy:

Complete and sign before participant entry to avoid denied admission.

Record Retention for Incident Investigation:

Retain signed waiver copies until liability exposure period expires.

Insurance Claim Submission and Documentation Window:

Provide waiver copies within insurer-specified deadlines for claims.

Emergency Responder Access and Authorization:

Ensure staff can access signed waivers during medical events.

Periodic Form Review and Updates:

Review wording annually or after incidents to reflect legal changes.

Common Preparation Mistakes to Avoid

  • Using vague language for risks or consideration, which can weaken waiver enforceability and invite disputes over scope when incidents occur; be specific about activities and inherent hazards.
  • Collecting unsigned or improperly dated forms at check-in; unsigned waivers may not bind signers and can expose the operator to greater liability in court.
  • Failing to verify guardian identity or mismatched names between IDs and waiver, which can lead to challenges in proving valid consent or authorizations.
  • Overlooking state-specific witness or notarization rules; some jurisdictions require witnesses or a notary for releases involving minors or certain medical authorizations.

Consequences When the Waiver Is Incorrect or Missing

Void Waiver: Unenforceable if procedural errors
Increased Liability: Exposure to negligence claims
Insurance Denial: Claims may be contested
Regulatory Violation: HIPAA breach fines if PHI mismanaged
Criminal Concern: False signatures risk prosecution
Operational Impact: Event cancellations and reputational harm

Essential Information to Collect on the Form

Participant Name: Full legal name
Parent/Guardian: Full name and relationship
Date of Birth: MM/DD/YYYY format
Emergency Contact: Name and phone number
Medical Info: Allergies, medications, current medical conditions
Signatures: Parent/guardian signature and date

Frequently Asked Questions About the Waiver

Answers to common questions about executing, validating, and managing the Jumpstreet LLC Release and Parent Guardian Waiver, including e-sign and notarization concerns.


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