Templates / Trampoline park & indoor play
Trampoline park & indoor play waiver template.
Free starting-point wording for New Zealand trampoline park & indoor play operators. Copy it, or have it live as a digital form in about a minute.
Use this as a digital form, free →Jump & play participant acknowledgement
Bouncing, climbing and soft play are great fun and carry a real chance of injury, especially when people jump beyond their ability or more than one person shares a trampoline. Please read this before anyone in your group goes on.
The risks
- Sprains, fractures and dislocations from awkward landings.
- Head, neck and back injuries from flips, somersaults or landing on the head or neck.
- Collisions with other jumpers, particularly between people of different sizes.
- Falls from climbing equipment and bumps on padding, frames and walls.
The rules
- One person per trampoline. No double bouncing.
- No flips or somersaults unless a staff member has said you may.
- Grip socks must be worn. Empty your pockets and remove jewellery.
- Children under the age shown at reception must be actively supervised by an adult.
- Do not jump if you are pregnant, injured, or under the influence of alcohol or drugs.
- Follow the court monitors' instructions.
Acknowledgement
- I have read and understood the risks and rules above, and I have had the chance to ask questions.
- I am taking part voluntarily and I will follow the instructions of staff at all times.
- The information I have given is true, and I have disclosed any medical condition or injury that could affect my safety or the safety of others.
- For each person under 18 listed below: I am their parent or legal guardian (or I am authorised by their parent or guardian to sign for them), and I consent to them taking part on the same terms.
I understand that Your Business takes reasonable care to run this activity safely, that it cannot remove every risk, and that I am responsible for my own behaviour and for following the rules. Nothing in this form limits any rights I have under New Zealand law that cannot be excluded, including ACC cover.
Why it's worded this way
You'll notice it doesn't say "I release the operator from all liability". In New Zealand, ACC covers personal injury and people generally can't sue for compensation for injuries ACC covers, and an operator can't sign away its health and safety duties. So a sweeping American-style release adds little here and can look like you're hiding something. What's useful is a clear record that the person was told the risks, agreed to the rules, and gave you the medical and emergency details you need. More in the plain-English guide.
Not legal advice. This is a starting point. Swap "Your Business" for your name, change anything that doesn't match how you operate, and have the final version checked by your lawyer or insurer.