Prepare participant acknowledgment for a supervised bungee jumping session.
Waiver template · 10 fields (9 required) · ~2 min for respondents to complete · Free plan · No credit card · Fully customizable
Set up your bungee jumping waiver
Prepare participant acknowledgment for a supervised bungee jumping session.
The included questions capture jump site and time and operator booking reference, alongside the signer’s contact details. An acknowledgment, signature, and signing date keep the participation or permission record together.
Have staff complete the operator's eligibility and equipment checks. Keep those checks separate from the participant's acknowledgment.
Before publishing, replace the draft instructions in the Terms acknowledgment field description with wording reviewed for your organization, activity, and jurisdiction. FormBuilder collects responses; it does not determine whether a waiver is enforceable or certify the identity of a signer.
Best practices
Have staff complete the operator's eligibility and equipment checks. Keep those checks separate from the participant's acknowledgment.
Record a terms version in your reviewed wording and preserve a copy of the form used for each activity or session.
Ask only for information your team needs. Arrange any sensitive supporting documents through an appropriate private process.
Test the published form on a phone, check the signature field, and confirm that your team can find the response before sharing the link widely.
Every field, explained
Full name of person signing (Name, required) — The person making the acknowledgment or request.
Email address (Email, required)
Phone number (Phone)
Jump site and time (Short text, required) — Identifies jump site and time so the response can be matched to the correct record.
Operator booking reference (Short text, required) — Records operator booking reference for this specific use case.
Emergency contact name (Short text, required)
Emergency contact phone (Phone, required)
Terms acknowledgment (Multiple choice, required) — Replace the organizer-facing draft instructions with your reviewed terms. Respondents acknowledge the displayed text; they should not write the terms themselves.
Signature (Signature, required) — A signature input for the person identified above. It is not an identity-verification or legal-validity guarantee.
Date signed (Date, required) — The date entered by the signer. Keep this distinct from any submission timestamp.
Frequently asked questions
What does the bungee jumping waiver template include?
It includes contact details, jump site and time, operator booking reference, an acknowledgment, signature, and signing date. You can edit the fields and instructions before publishing.
Is this a ready-to-use legal waiver?
No. It is a form-building starting point with draft setup instructions. Replace those instructions with reviewed terms for your activity and jurisdiction before collecting responses. A signature alone does not establish enforceability.
Can I use this form online or print it?
Yes. Customize the draft, publish it to share a link or embed it, or use the template page’s print option. Review the final wording and layout before distributing either version.