Rebound Revolution Waiver
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Risk Acknowledgement & Waiver Form


FOR THOSE AGED 16 YEARS AND OVER

I wish to participate in the use of the trampolines, inflatables, airbags, wipeout machine, Rodeo bull and soft play (collectively hereinafter called ”Activity”) at Rebound Revolution (”the Company”).


I am sixteen (16) years old or older.


I agree that I will undertake the Activity 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.


Due to the coronavirus pandemic Rebound Revolution have implemented a number of measures to promote safety against the virus for their staff, their customers, members of the public, their activities and their sites. I agree to maintain social distancing whilst at the Rebound Revolution premises and will follow all the coronavirus rules and advice provided to me on the website, pre-participation safety briefing and safety signs, together with any oral instruction provided by staff pre/post and during the session.


I certify that I do NOT have a coronavirus symptoms (high temperature, a new persistent cough or a loss/change to my sense of taste or smell). I am NOT waiting for a coronavirus test result. I have NOT tested positive for coronavirus. 


I certify that I do NOT live with someone who has coronavirus symptoms, or who is waiting for a coronavirus test result, or who has tested positive for the coronavirus. Nor do I suspect I have had or been in contact with anyone having or suspected of having coronavirus.


I certify that nobody in my support bubble has coronavirus symptoms, or who is waiting for a coronavirus test result, or who has tested positive for the coronavirus. Nor do I suspect I have had or been in contact with anyone having or suspected of having coronavirus.


In the event that I have tested positive for coronavirus I certify that I am not attending Rebound Revolution within the self-isolation timeframes communicated by the NHS. In the event that I was hospitalised by coronavirus I certify that I have followed all instruction provided to me by professional medical staff and I am now able to take part in the Activity with no risk of transmission to others.


I acknowledge that I am responsible for my own safety while undertaking the Activity.


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 Activity, 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 18 stone and confirm that I do not exceed this weight.


ON BEHALF OF THOSE UNDER 16 YEARS OLD

I am the parent/guardian of the child/ren listed who is/are under sixteen (16) years of age. I consent to allow that/those child/ren to participate in in the use of the trampolines, inflatables, airbags, wipeout machine, rodeo bull and soft play (collectively hereinafter called ”Activity”) at Rebound Revolution (”the Company”). 


I declare that if I am not the parent or guardian of the child/ren listed 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 listed and undertake to ensure that he/she/they undertake the Activity 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 Rebound Revolution do not provide supervision of children whilst using the premises or children attending unaccompanied or if left unaccompanied on the premises. 


I acknowledge that I am responsible for the safety and supervision of the child/ren listed and I will ensure they maintain social distancing whilst at the Rebound Revolution premises and follow all the coronavirus rules and advice provided on the website, pre-participation safety briefing and safety signs, together with any oral instruction provided by staff pre/post and during the session.


I certify that the child/ren listed do NOT have a coronavirus symptoms (high temperature, a new persistent cough or a loss/change to my sense of taste or smell). Are NOT waiting for a coronavirus test result. Have NOT tested positive for coronavirus.


I certify that the child/ren listed do NOT live with someone who has coronavirus symptoms, or who is waiting for a coronavirus test result, or who has tested positive for the coronavirus. Nor do I suspect they have had or been in contact with anyone having or suspected of having coronavirus.


I certify that nobody in the support bubble of the child/ren listed has coronavirus symptoms, or who is waiting for a coronavirus test result, or who has tested positive for the coronavirus. Nor do I suspect they have had or been in contact with anyone having or suspected of having coronavirus.


In the event that the child/ren listed have tested positive for coronavirus I certify that they are not attending Rebound Revolution within the self-isolation timeframes communicated by the NHS. In the event that the child/ren listed were hospitalised by coronavirus I certify that they have followed all instruction provided to them by professional medical staff and they are now able to take part in the Activity with no risk of transmission to others.


I certify that to the best of my knowledge the child/ren listed 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 listed have no pre-existing medical conditions which, could through participation in the Activity, result in injury to them or damage to their health.


I certify that to the best of my knowledge the child/ren listed is/are not pregnant.


I acknowledge that the maximum permitted weight for participation in the Activities is 18 stone and confirm that the child/ren listed do not exceed this weight.


I acknowledge that it is my responsibility to assess the suitability of the Activity for use by children in my care.  


YOUR ACKNOWLEDGEMENT

I understand that Rebound Revolution do not assess the abilities of individual participants or the suitability of the Activity for use by individual participants. I further understand that all participants, parents and guardians must make their own assessment of whether the Activity is suitable for use by individual participants and individual participants ability to participate in the Activity prior to use.


I understand that the Activity is physically demanding and involves jumping and other strenuous actions sometimes involving height, speed, and unpredictable surfaces.


I understand that the Activity is 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 Activity is dangerous and there is a risk of personal injury when undertaking such Activity and participation can result in serious injury or death.


I understand the increased risk in using the Activity.


I/he/she/they use the Activity entirely at my/their own risk.


I understand that participation in the Activity 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 Activity requires a moderate level of fitness and can be physically demanding and requires physical effort and I/he/she/ they should not undertake the Activity unless I/he/she/they am/is/are) physically able to.


I understand that I/he/she/they are responsible for my/his/her/their own actions and or involvement in using the Activity.


I understand that Rebound Revolution do not provide direct supervision of participants when using the Activity.


I understand that Rebound Revolution do not provide training or tuition to participants in the use of the Activity.


I understand that Rebound Revolution do not assess any participant’s skill levels, abilities, competency or the suitability of the Activity for use by them.


I understand that use of the Activity requires a basic athletic and jumping ability. I understand that the use of performance, professional grade, Olympic trampolines or any trampoline with a rebound effect in excess of that of a standard park trampoline require an advanced athletic and jumping ability.


I am confident in my/his/her/their abilities, aware of and competent in my/his/her/their own skill set, capable or have previous experience and or training to use the Activity.


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. 

I agree to wear non-slip socks whilst participating in the Activities.


In the unlikely event of an accident, 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 Activity (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 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 Activity 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.



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