Registration
2:00-3:30pm for Ages 5-10 Price: $10, Sibling discount $2 off. Let your kids have an amazing time with us while you get some things done! Trampoline fun, foam pit fun, games, dodgeball, activities and prize drawings for the kids! Your actual fee will be adjusted to reflect any discounts by office staff before your credit card is charged.
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Parent's Information
First Name:* Last Name: *
Parent/Self if over 18*
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
 
 
Students entered below will be added to your family's account
 
Additional Information:
 
Assumption of Risk/Release of Liability
I understand that in any sport or activity the potential exists for injury, minimal to catastrophic. Being fully aware of these risks, I agree that I/my child(ren) is/are voluntarily participating in these activities and I assume all risks, losses, damages, or injuries. I hereby waive, release, discharge and/or otherwise forever hold harmless and indemnify Jump Kangaroo, LLC, d.b.a. Jump TNT, Ninja Zone, LLC, it's owners, officers, directors, coaches, employees, associated personnel, and volunteers from and against any and all demands, claims and causes of action arising, directly or indirectly, from my or my child's participation in any class, program, exhibition, competition, clinic or travel to or from any event in which the above named is involved
I've read the above and agree.
 
Medical Emergencies
I hereby give permission to Jump TNT staff to render first aid in the event of any injury or illness. If Jump TNT staff are unable to reach a parent or guardian, they may seek medical assistance if deemed necessary and to transport to a medical facility or to call an ambulance. The parent or guardian (or participate if 18 or older) also agrees that they themselves will be responsible for any financial debt incurred by said action.
I've read the above and agree.
 
Photo/Video Release
I understand that my/my child's photograph and/or video may be taken during the course of class instruction or during a special event. I hereby grant my permission for the resulting photograph and/or video to be used for any and all publicity, advertising, website, and printing purposes. Please use comment section to let us know if there is a reason your child's image cannot be used for this purpose.
I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*