Kindly answer ALL the questions and complete this pre-registration form to secure your spot.
JUNE 19th - JULY 25th
Jumping Juniors Double Dutch Camp will be held each MONDAY AND TUESDAY, beginning June 19th and ending July 25th.
Camp will be held at JOY FELLOWSHIP BAPTIST CHURCH, located at 12001 S. Indiana Ave. Chicago, IL 60628 from 1:00 pm until 3:00 pm.
Participants must be between 5 and 18 years of age. Gym shoes or closed toe shoes are required for all jumpers. $0 enrollment fee. Camp T-shirts are $0 each. Only full payment of fee and purchase of camp shirt ensures your child's spot for the current session. Jumpers are encouraged to bring water bottles to maintain hydration.
ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM
I hereby assume all of the risks of participating in Jumping Juniors Double Dutch Camp (Sports Camp), including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained or controlled by them, or because of their possible liability without fault. I certify that my child is physically fit and has not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my participation in this Sports Camp. I acknowledge that this Accident Waiver and Release of Liability Form will be used by the organizers of the Sports Camp in which I may participate and that it will govern my actions and responsibilities at said Sports Camp. In consideration of my application and permitting me to participate in this Sports Camp, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows:
(A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this Sports Camp. THE FOLLOWING ENTITIES OR PERSONS: Jumping Juniors Double Dutch Camp, and/or their coaches, agents, representatives or volunteers. (B) I INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this Sports Camp, whether caused by negligence or otherwise.
I acknowledge that this Sports Camp may carry with it the potential for death, serious injury, and personal loss. The risks may include, but are not limited to, those caused by terrain, facilities, temperature, weather, condition of participants, equipment, vehicular traffic, actions of other people including, but not limited to, participants, volunteers, spectators, coaches, and lack of hydration. I consent and agree that Jumping Juniors Double Dutch Camp, and/or their coaches, agents, representatives, or volunteers may take photographs or digital recordings of me as a participant during this event and use these in any and all media for training or promotional purposes. I further consent that my identity may be revealed therein or by description text or commentary. I waive any rights, claims, or interest and I understand that there will be no financial or other remuneration. The accident waiver, release of liability, and image release shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. I CERTIFY THAT I HAVE READ THIS DOCUMENT, AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT ON MY OWN FREE WILL.
Website and Social Media Release Form
I, the undersigned, do hereby grant permission to Jumping Juniors to post my and/or my child’s story, photo, or other items, hereinafter referred to as “Materials,” I submit to and for Jumping Juniors website, Twitter account, Tik Tok, Instagram and Facebook accounts for any legal use including but not limited to publicity, copyright purposes, illustration, advertising and web content. I hereby release Jumping Juniors your representatives, employees, managers, members, officers, parent companies, subsidiaries, directors and coaches, from all claims and demands arising out of or in connection with any use of said “Materials”, including without limitation, all claims for invasion of privacy, infringement of my right of publicity, defamation and any other personal and/or property rights. I acknowledge and agree that no sums whatsoever will be due to me as a result of the use and/or exploitation of the “Materials” or any rights therein.
I acknowledge that my child is under 18 years of age and lacks the legal capacity to enter into binding agreements. Accordingly, I have read this Release and consent to my child’s inclusion in the Materials and will not contest the rights granted in this Release and shall assist and support you in any and all legal proceedings for affirmation of this Agreement, should you choose to have a court of law affirm this. I CERTIFY THAT I HAVE READ THIS DOCUMENT, AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT ON MY OWN FREE WILL ON BEHAVE OF MY MINOR CHILD PARTICIPATING IN THIS CAMP.
*Every participant will be required to have a signed hardcopy of this Media Release Form on file.