InsaneAir Ltd Risk Acknowledgement Form
Details
 Tick this checkbox if you are completing this form on behalf of a minor (Under 16 years of age) *required
First Name * Last Name *
DOB * Email *
Telephone *

InsaneAir Bradford

FOR THOSE AGED 18 YEARS AND OVER
 
I wish to participate in the activities including, but not limited to trampoline park access, trampolining, fitness classes, tumble track, basketball, foam pit, airbag, jump tower, walk the wall, performance trampoline, battle beam, ninja warrior obstacle course, bouldering wall, cardio wall duo, wipeout and ‘soft play’ (collectively hereinafter called ”the Activities”) organised by INSANE AIR (”the Company”).
 
I am (18) years old or older.
 
I agree that I will undertake the Activities in accordance with the safety rules made available to me prior to participation and the advice given in the pre-participation safety briefing to be undertaken prior to participation, together with any oral instructions or advice given to me prior to or during the session.
 
I acknowledge that I am responsible for my own safety (and the safety of my possessions) while undertaking the Activities.
 
I certify that to the best of my knowledge that I am in good physical condition and I do not have any medical condition which might have the effect of making it more likely that I will be involved in an incident which could result in injury to myself or others.
 
I certify that I have no pre-existing medical conditions which, could through participation in the Activities, result in injury to myself or damage to my health.
 
I certify that to the best of my knowledge I am not pregnant.
 
I acknowledge that the maximum permitted weight for participation in the Activities is 120 kg / 18.8 stone and confirm that I do not exceed this weight.
 
ON BEHALF OF THOSE UNDER 18 YEARS OLD
 
I am the parent/guardian of the child/ren listed who is/are under 18 years of age. I consent to allow that/those child/ren to participate in the activities including, but not limited to trampoline park access, trampolining, fitness classes, tumble track, basketball, foam pit, airbag, jump tower, walk the wall, performance trampoline, battle beam, ninja warrior obstacle course, bouldering wall, cardio wall duo, wipeout and ‘soft play’ (collectively hereinafter called ”the Activities”) organised by INSANE AIR (”the Company”).
 
I declare that if I am not the parent or guardian of the child/ren I have authority from the child/ren’s parent or guardian to sign this risk acknowledgement form.

I acknowledge the risk on their behalf.
 
I confirm that I am responsible for the child/ren in my care and undertake to ensure that he/she/they undertake the Activities in accordance with the safety rules made available prior to participation and the advice that I and he/she/they will be given in the pre-participation safety briefing to be undertaken prior to participation, together with any oral instructions or advice given to me and he/she/them prior to or during the session.
 
I acknowledge that I am responsible for the safety & supervision of the child/ren listed (and the safety of our possessions) and that INSANE AIR do not provide supervision of children whilst using the premises or children attending unaccompanied or if left unaccompanied on the premises.

I certify that to the best of my knowledge the child/ren is/are in good physical condition and do not have any medical condition which might have the effect of making it more likely that he/she/they be involved in an incident which could result in injury to him/her/themselves or others (if in any doubt, please check with the child/ren’s parent or guardian).
 
I certify that the child/ren have no pre-existing medical conditions which, could through participation in the Activities, result in injury to them or damage to their health.
 
I certify that to the best of my knowledge the child/ren is/are not pregnant.
 
I acknowledge that the maximum permitted weight for participation in the Activities is 120kg / 18.8 stone and confirm that the child/ren do/es not exceed this weight.
 
I understand that the Activities provided are not segregated for use solely by children. I understand that the Activities are used by multiple age groups including adults at the same time as children and are not restricted to any one age group.   
 
I acknowledge that it is my responsibility to assess the suitability of the Activities & the multiple age group use for children in my care. I am aware that some activities are age, height and or ability restricted and I will ensure that the child/ren in my care is/are advised accordingly.
 
I agree that I will not attempt to use any of the activity equipment or participate in the Activities whilst accompanying the child/ren unless:
 
I am a registered participant;
I have signed a risk acknowledgement & waiver form as a participant in the Activities;
I am aware of and have agreed to undertake the Activities in accordance with the safety rules made available to me prior to participation and the advice given in the pre-participation safety briefing to be undertaken prior to participation, together with any oral instructions or advice given to me prior to or during the session.
 
YOUR ACKNOWLEDGMENT
 
I understand that INSANE AIR do not assess the abilities of individual participants or the suitability of the Activities for use by individual participants. I further understand that all participants, parents and guardians must make their own assessment of whether the Activities are suitable for use by individual participants and individual participants ability to participate in the Activities prior to use.
I understand that trampoline parks are interconnected trampolines that are not enclosed and are without segregation or barriers to allow for the free movement around the court between trampolines.
 
I understand that the Activities are used by multiple age groups at the same time and are not restricted to any one age group.
 
I understand that the Activities are physically demanding and involve jumping and other strenuous actions sometimes involving height, speed, and unpredictable surfaces.
 
I understand that the Activities are a high-impact, full body activity which requires intense focus, awareness of my body’s strengths and limitations, awareness of the environment around me, and extreme caution at all times.
 
I understand that the Activities are dangerous and there is a risk of personal injury when undertaking such Activities and participation can result in serious injury or death.
 
I//he/she/they use the Activities entirely at my/their own risk.
 
I understand that participation in the Activities can result in personal injury including, but not limited to, friction burns, cuts, abrasions, bruising, muscle strains, twists, sprains, dislocation, broken bones and paralysis and accept that these injuries can occur through general use of the equipment and not always or necessarily as a result of defective equipment or negligence of the Company.
 
I understand and accept that the Activities require a moderate level of fitness and can be physically demanding and require physical effort and I/he/she/ they should not undertake the Activities unless I/he/she/they am(is/are) physically able to.

I understand that I/he/she/they is/are responsible for my/his/her/their own actions and or involvement in using the Activities.
 
I understand that INSANE AIR do not provide direct supervision of participants when using the Activities.
 
I understand that INSANE AIR do not provide training or tuition to participants in the use of the Activities.
 
I understand that INSANE AIR do not assess any participant’s skill levels, abilities, competency or the suitability of the Activities for use by them.
 
I understand that use of the Activities requires at minimum, a basic athletic and jumping ability.
 
I/he/she/they will not attempt flips or other extreme moves unless I/he/she/they know I am/he/she/they are competent, capable and have previous experience and the appropriate training.
 
I/he/she/they will not attempt any manoeuvre beyond my/his/her/their own skill level.
 
In the unlikely event of an accident, or loss or damage to any personal effects, I acknowledge that the Company will not be liable for any direct or indirect loss, damage or injury arising from or in connection with the Activities (except for death or personal injury caused by the Company’s negligence) and I waive all and any claims against the Company in this respect.

I acknowledge and accept that CCTV images of all park entrants will be monitored and recorded throughout the premises for the purposes of public safety and crime prevention.
 
I acknowledge that I (and the child/ren in my care if applicable) have been provided with safety rules and advice of the Company in relation to the Activities and that I have read and fully understand the above and accept the terms of participation freely and voluntarily without any inducement prior to signing/submitting this form.

Accept terms