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.

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Full name

Nombre

Apellido

Email address

Phone number

Date of birth

Emergency contact name

Nombre

Apellido

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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