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Waiver
Jump-n-Stuff Waiver
Parent's First name
Parent's Last name
#1 Child's Full Name
#1 Date of Birth
#2 Child's Full Name
#2 Date of Birth
#3 Child's Full Name
#3 Date of Birth
#4 Child's Full Name
#4 Date of Birth
If you are not the parent or guardian, do you have permission to complete the waiver on their behalf?
No
Yes
Not Applicable
Initials
I declare that the info I’ve provided is accurate & complete
I hereby acknowledge this release from liability for accidental injury as outlined in the Jump-n-Stuff waiver.
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