Fallout Jump Waiver

Collect risk acknowledgement and emergency details from every participant before the jump. It covers medical conditions, photo consent and a digital signature, giving your operation a clear record for each guest.

Use this template

In the Claude connectors directory

Full name

First Name

Last Name

Email address

Phone number

Date of birth

Emergency contact name

First Name

Last Name

Emergency contact phone number

Do you have any pre-existing medical conditions or injuries that may affect your ability to participate?

If yes, please provide details

Do you understand and accept the risks involved in the jump activity?

Yes, I understand and accept the risks No I need more information

Do you agree to follow the safety guidelines and staff instructions?

Yes, I agree to follow them No I have questions

Do you authorize the promotional use of photos or videos taken during the activity?

Yes, I authorize No, I do not authorize Only if I am not recognizable

Signature

Sign here

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