CLAIM FORM You have been identified as having worked at a Sky Zone Trampoline Park in Elmhurst, Aurora, or Joliet, Illinois during the relevant time in this Lawsuit. You are eligible for compensation in this Settlement if you scanned a fingerprint at one of the Sky Zone locations above at any time between April 29, 2014—April 23, 2024. If you scanned a fingerprint during that period, please complete a Claim Form below and Electronically sign on the next page. You can also print the Claim Form and return it to the Settlement Administrator by email or mail. To download the Claim Form, Click HERE. The deadline to return this form is July 29, 2024. Your Claim Form will be timely if it is postmarked or electronically submitted on or before this date. I hereby request my portion of the settlement.ClaimFormNoHiddenHiddenLastName Claimant ID* CONTACT INFORMATIONName:* First Last HiddenIf you are known by any additional names, please list them here. Mailing Address:* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zip Code HiddenIf your Street Address is different from your mailing address, please list it here. Telephone:Email Address:* Unique IDCERTIFICATION AND SIGNATURECertification Acknowledgement I certify that, on at least one occasion between April 29, 2014, and April 23, 2024, I scanned a fingerprint at a Sky Zone Trampoline Park in Elmhurst, Aurora, or Joliet, Illinois. I certify that the information provided in the Claim Form is true and accurate to the best of my knowledge. If you do not submit a Claim Form by the deadline, you will not receive the settlement payment.CAPTCHACommentsThis field is for validation purposes and should be left unchanged.
