Trampoline Park Participation Agreement Form

Trampoline Park Participation Agreement Form
Complete this form to provide participant and emergency contact information, disclose relevant health and supervision needs, and acknowledge agreement to park rules and safety instructions.
Participant Full Name
First NameLast Name
Participant Date of Birth
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Participant Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Participant Email Address
example@example.com
Participant Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Are you the participant's legal guardian?
Guardian Full Name (if participant is under 18)
First NameLast Name
Emergency Contact Full Name
First NameLast Name
Emergency Contact Relationship to Participant
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date of Visit
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Participant Height (in cm)
Participant Weight (in kg)
Does the participant have any medical conditions or injuries that may affect trampoline use?
If yes, please describe medical conditions or injuries
Does the participant require adult supervision during their visit?
Signature of Participant or Guardian
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