SayPro Extreme Sports Activity Consent Forms
The following are Activity Consent Forms specific to each extreme activity offered at the SayPro Extreme Sports Camp. These forms are designed to ensure participants understand the inherent risks of each activity and give their informed consent to participate.
1. Bungee Jumping Consent Form
SayPro Bungee Jumping Activity Consent Form
Participant Name:
Date of Birth:
Acknowledgment of Risks
I, the undersigned, acknowledge that I have voluntarily agreed to participate in bungee jumping as part of the SayPro Extreme Sports Camp. I understand that bungee jumping is an inherently dangerous activity, and I fully accept the risks involved, including, but not limited to:
- Risk of injury or death due to falls, equipment failure, or unexpected events during the jump.
- Physical injury to bones, joints, ligaments, muscles, and soft tissue.
- Psychological stress, including but not limited to panic or anxiety, while preparing to jump.
- Dizziness, nausea, or disorientation caused by the jump’s physical demands.
I understand that these risks may be exacerbated by factors such as height, weather, and my own physical condition.
Health and Fitness Confirmation
I confirm that I am in good health and have no conditions that would impair my ability to safely participate in bungee jumping. I further affirm that I have disclosed any relevant medical history (e.g., heart conditions, vertigo, high blood pressure) on the SayPro Health and Safety Questionnaire.
Consent and Waiver
By signing this form, I consent to participate in the bungee jumping activity and agree to hold harmless and indemnify SayPro Extreme Sports Camp, its employees, agents, contractors, and volunteers from any and all claims, damages, or liabilities arising from my participation, including injury or death.
Participant Signature:
_Date: _______________________
2. Zip-lining Consent Form
SayPro Zip-lining Activity Consent Form
Participant Name:
Date of Birth:
Acknowledgment of Risks
I, the undersigned, acknowledge that I have voluntarily agreed to participate in zip-lining as part of the SayPro Extreme Sports Camp. I understand that zip-lining involves inherent risks, including, but not limited to:
- Falling from the zip-line platform or while in transit.
- Collisions with trees, obstacles, or ground surfaces.
- Injury to joints, bones, or soft tissue due to high-speed travel or sudden stops.
- Psychological stress, including but not limited to fear or panic, associated with height and speed.
- Environmental risks such as weather conditions or terrain instability.
I understand that these risks are inherent in the activity and that participation is voluntary.
Health and Fitness Confirmation
I confirm that I am physically capable of participating in the zip-lining activity and that I have disclosed any health concerns (e.g., heart conditions, balance issues, vertigo) on the SayPro Health and Safety Questionnaire.
Consent and Waiver
By signing this form, I acknowledge the risks involved in zip-lining and consent to participate in the activity. I agree to hold harmless and indemnify SayPro Extreme Sports Camp, its employees, agents, contractors, and volunteers from any claims, damages, or liabilities resulting from my participation, including injury or death.
Participant Signature:
_Date: _______________________
3. Skydiving Consent Form
SayPro Skydiving Activity Consent Form
Participant Name:
Date of Birth:
Acknowledgment of Risks
I, the undersigned, acknowledge that I have voluntarily agreed to participate in skydiving as part of the SayPro Extreme Sports Camp. I understand that skydiving is an extreme sport with inherent risks, including, but not limited to:
- Risk of injury or death due to equipment malfunction, parachute failure, or accidents during the jump or landing.
- Physical injury to bones, joints, muscles, or soft tissue from high-impact landing or sudden movements.
- Psychological distress, including fear, panic, or anxiety, associated with the jump and the altitude.
- Risks associated with the weather, such as wind conditions, turbulence, or unexpected changes during the jump.
I understand that these risks are inherent in the activity and I voluntarily accept them.
Health and Fitness Confirmation
I confirm that I am physically fit for skydiving and have no medical conditions (e.g., heart disease, seizures, or musculoskeletal injuries) that could interfere with my ability to safely participate. I affirm that I have fully disclosed my health history on the SayPro Health and Safety Questionnaire.
Consent and Waiver
By signing this form, I consent to participate in the skydiving activity and agree to release SayPro Extreme Sports Camp and its employees, agents, contractors, and volunteers from any liability for injuries, damages, or fatalities that may arise from my participation.
I further agree to hold harmless and indemnify SayPro Extreme Sports Camp from any and all claims, losses, or damages.
Participant Signature:
_Date: _______________________
General Terms for All Activities
- Age Requirement: Participants must be at least 18 years old to sign the consent form on their own. If the participant is under 18, a parent or guardian must sign the form on their behalf.
- Physical Fitness: All participants must be in good physical health and not have any medical conditions or restrictions that would prevent them from safely participating in any of the activities offered at the SayPro Extreme Sports Camp.
- Medical Emergencies: In case of a medical emergency, the participant grants permission for immediate treatment or transportation to a medical facility if necessary.
- Media Release: By participating in these activities, the participant agrees to be photographed, recorded, and to allow the use of those images/videos for promotional or marketing purposes by SayPro Extreme Sports Camp.
For Office Use Only
- Form Reviewed by: ______________________________
- Date of Review: ______________________________
- Participant ID: ______________________________
- Payment Status: ☐ Paid ☐ Unpaid
These Activity Consent Forms are specifically tailored to each activity, ensuring that participants are fully aware of the risks involved and are giving their informed consent to participate in these extreme sports. The forms also serve to protect SayPro Extreme Sports Camp legally, ensuring all parties are informed of the potential dangers and have agreed to proceed with full understanding.
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