Waiver Form - Kangoo Jumps Rebound Shoes — JumpFit Indy

Please read Waiver then Scroll down to electronically Submit Signature

Electronic Waiver Agreement Submisiom

Participants Name

First Name

Last Name

Participants Phone

(###)

###

####

Participantst Email

Emergency Contat Name

First Name

Last Name

Emergency Phone

(###)

###

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I HEREBY AFFIRM THAT I HAVE READ AND FULLY UNDERSTAND THE STATEMENTS

I AGREE

YES

NO

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