Skyjumpers CT

Register With Us

Please complete the form and mail a check for $20 payable to Russ VerSteeg to:


Skyjumpers-Connecticut
3 Lathrop Lane
Norwich, CT 06360

Register with Skyjumpers

* Waiver of Liability, Medical Consent


In consideration of my son's/daughter's or ward's participation with Skyjumpers-Connecticut ("Skyjumpers"), I hereby for myself, my heirs, executors, and administrators, waive and release any and all rights or claims for damages I may have against Skyjumpers, its representatives, successors, employees, volunteers, coaches, staff, sponsors, directors, and assigns for any and all injuries suffered by my son/daughter or ward as a result of his/her participation in or travel to and from any practice, "open pit" session, meet, or other function of Skyjumpers. I, the undersigned, understand that there is an element of risk involved with my son/daughter or ward participating in pole vault activities, and that both minor and severe injuries may occur. On behalf of my son/daughter or ward, I accept the risks of such injuries, and voluntarily grant my permission for my son/daughter or ward to participate in all of the activities of Skyjumpers.


I also grant Skyjumpers, its employees, staff, volunteers, coaches, and other persons authorized and/ or designated by Skyjumpers to administer first aid as they deem reasonable and appropriate under the circumstances, while my son/daughter or ward is participating in the activities of Skyjumpers, including, but not limited to practices, "open pit" sessions, meets, and travel to and from the same. Such first aid shall include, but not be limited to, applying antiseptics and bandages, and in the event of my absence, seeking any other emergency medical treatment from heath care professionals that Skyjumpers, its employees, staff, coaches, volunteers, and other persons designated and/or authorized by Skyjumpers may deem reasonable and appropriate while my son/daughter or ward is participating in the activities of Skyjumpers, including, but not limited to practices, "open pit" sessions, meets, and travel to and from the same. In the event of an emergency in my absence, if any health care professional is consulted, I understand that I will be contacted as soon as possible, and that I will be financially responsible for any medical treatment administered by said healthcare professional.

Share by: