Adult Information

NOTE: You must be at least 18 years old to sign a liability waiver. If you are not 18 years old, please ask your parent or legal guardian to complete this process.

Name:
Birth Date:

Address & Phone

City:
State:
ZIP:
Contact Phone:
Emergency Contact:
Emergency Phone:

Family Members

To add a family member younger than 18, click the ADD FAMILY MEMBER button. When finished adding all your family members, click CONTINUE.

Accept and Sign

Please review the following agreement and "sign" below.

I agree that by typing my initials in this box, I am certifying that I am 18 or older, that I have read the agreement above and agree to its terms, and that my typed initials are equivalent to my signature. By initialing for a minor, I agree that I am a legal parent or guardian. Forgery is a federal crime and punishable by law. I understand that if I have committed forgery I may be pursued under federal statutes.

Signature:

Note: This liability waiver will expire one (1) year from today. After that, you'll need to complete a new waiver before jumping again.

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