Strong Girls Registration

FY21 Strong Girls

  • This is to indicate that our child has our permission to participate in this JumpSpark program. While we expect the JumpSpark staff to take necessary health and safety precautions, we understand that JumpSpark is NOT responsible for illness or accidents during or in transit to or from the destination of the activities. We relieve JumpSpark of liability should an accident occur.
    JumpSpark assumes no liability for injury or damages arising from the results of participation in this JumpSpark program unless due to willful fault or gross negligence on the part of the JumpSpark. Due to the strenuous nature of some activities, the participant is urged to consult his/her physician concerning his/her fitness to participate. All activities present certain inherent risks and hazards which the participant is urged to consider and which the participant assumes.
    I certify that my child is in good health and may participate in all activities. I hereby approve and certify my child's participation in this program and consent to emergency medical treatment for my child on my behalf. To the best of my knowledge, there are no physical or other conditions which will interfere with my child's participation.
    In the event that I cannot be reached in an emergency, I hereby give permission to JumpSpark staff to hospitalize, secure proper treatment for, and to order injection, anesthesia or surgery for my child as named above.
  • I do hereby agree to the following as a program participant of JumpSpark and/or a parent/guardian of the former participant. In connection with the participation in this JumpSpark activity, I authorize JumpSpark to take, use, and publish photographs, video or audio recordings, or quotations from interviews which may be used for editorial, fundraising, and/or promotional and advertising purposes and in any manner and medium; and to alter and composite the same without restriction and without inspection or approval. I agree that there is to be no financial compensation for said use or publication, and hereby release JumpSpark and persons functioning under its authority from all claims and liability relating to the same. I understand that to revoke this photo/video/testimonial release, I must do so in writing to annie.fortnow@jumpsparkatl.org
  • Price: $50.00 Quantity:
  • $0.00
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