360 Sports Park

360 Sports Park Consent Form & Conditions of Service


  • Park Location
  • I am signing this consent form on behalf of:
  • Customer 1 Age:  
  • Full Name of the Customer 1 attending 360SportsPark:  
  • Customer 2 Age:  
  • Full Name of the Customer 2 attending 360SportsPark:
  • Customer 3 Age:  
  • Full Name of the Customer 3 attending 360SportsPark:
  • Customer 4 Age:  
  • Full Name of the Customer 4 attending 360SportsPark:
  • Emergency Phone Number:  
  • Customer's level of competency: TRAMPOLINES (Please check applicable experience level)
     
  • Customer's level of competency: CLIMBING (Please check experience level)
     
  • Customer's level of competency: PUMP TRACK (Please check experience level)
     
  • Customer's level of competency: SEGWAY ADVENTURE (Please check experience level)
     

1. GENERAL RELEASE

   


2.RELEASE OF POTENTIAL INJURIES

 


3.VOLUNTARY ASSUMPTION OF RISK


4.MEDICAL AID


5.MEDICAL CONDITIONS


6.REFUSAL OF SERVICE


7.PHOTO/VIDEO/SOCIAL MEDIA WAIVER


8.OTHER PREVISIONS


9.TERM OF AGREEMENT



 

Leave this empty:

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Signature Certificate
Document name: 360 Sports Park Consent Form & Conditions of Service
lock iconUnique Document ID: 7935bd27713c4f53e4d093a33c662c9005339d49
Timestamp Audit
November 14, 2018 11:39 am +07360 Sports Park Consent Form & Conditions of Service Uploaded by 360 SportsPark - info@360sportspark.com IP 182.232.217.40
November 14, 2018 5:49 pm +07Front Desk - suezoch@hotmail.com added by Marius Imfeld - imfeld@protonmail.com as a CC'd Recipient Ip: 183.89.25.168
November 14, 2018 5:52 pm +07Front Desk - suezoch@hotmail.com added by Marius Imfeld - imfeld@protonmail.com as a CC'd Recipient Ip: 183.89.25.168
November 14, 2018 5:58 pm +07Front Desk - suezoch@hotmail.com added by Marius Imfeld - imfeld@protonmail.com as a CC'd Recipient Ip: 183.89.25.168
November 15, 2018 10:33 am +07Front Desk - suezoch@hotmail.com added by Marius Imfeld - imfeld@protonmail.com as a CC'd Recipient Ip: 183.89.25.168
November 15, 2018 10:34 am +07Front Desk - suezoch@hotmail.com added by Marius Imfeld - imfeld@protonmail.com as a CC'd Recipient Ip: 183.89.25.168
November 15, 2018 10:52 am +07Front Desk - suezoch@hotmail.com added by Marius Imfeld - imfeld@protonmail.com as a CC'd Recipient Ip: 183.89.25.168
December 7, 2018 3:20 pm +07Front Desk - suezoch@hotmail.com added by Marius Imfeld - imfeld@protonmail.com as a CC'd Recipient Ip: 180.183.73.157
December 7, 2018 3:24 pm +07Front Desk - suezoch@hotmail.com added by Marius Imfeld - imfeld@protonmail.com as a CC'd Recipient Ip: 180.183.73.157
December 7, 2018 3:30 pm +07Front Desk - suezoch@hotmail.com added by Marius Imfeld - imfeld@protonmail.com as a CC'd Recipient Ip: 180.183.73.157
December 7, 2018 5:10 pm +07Front Desk - suezoch@hotmail.com added by Marius Imfeld - imfeld@protonmail.com as a CC'd Recipient Ip: 180.183.73.157
December 7, 2018 5:37 pm +07Front Desk - suezoch@hotmail.com added by Marius Imfeld - imfeld@protonmail.com as a CC'd Recipient Ip: 180.183.73.157
December 7, 2018 5:49 pm +07Front Desk - suezoch@hotmail.com added by Marius Imfeld - suezoch@hotmail.com as a CC'd Recipient Ip: 180.183.73.157
December 13, 2018 6:40 am +07Front Desk - suezoch@hotmail.com added by Marius Imfeld - suezoch@hotmail.com as a CC'd Recipient Ip: 183.89.36.117
December 13, 2018 6:46 am +07Front Desk - suezoch@hotmail.com added by Marius Imfeld - suezoch@hotmail.com as a CC'd Recipient Ip: 183.89.36.117
December 19, 2018 3:35 pm +07Front Desk - suezoch@hotmail.com added by Marius Imfeld - suezoch@hotmail.com as a CC'd Recipient Ip: 180.183.72.220
February 7, 2019 6:23 am +07Front Desk - suezoch@hotmail.com added by Marius Imfeld - suezoch@hotmail.com as a CC'd Recipient Ip: 180.183.74.150
February 7, 2019 10:07 am +07Front Desk - suezoch@hotmail.com added by Marius Imfeld - suezoch@hotmail.com as a CC'd Recipient Ip: 180.183.74.150
February 7, 2019 10:41 am +07Front Desk - suezoch@hotmail.com added by Marius Imfeld - suezoch@hotmail.com as a CC'd Recipient Ip: 180.183.74.150
June 27, 2019 2:48 pm +07Front Desk - suezoch@hotmail.com added by Marius Imfeld - suezoch@hotmail.com as a CC'd Recipient Ip: 183.89.30.112