Participation Waiver

Assumption of Risk *
As a parent or guardian of a participant in activities offered by Capital Gymnastics LLC, I am fully aware of and appreciate the risks associated with participation in gymnastics and tumbling activities and events. I understand that the activity involves risks of serious bodily injury, including permanent disability, paralysis or even death, which maybe be caused by the participant's actions or inactions, those of others participating in the activity, the conditions in which the activity takes place, the negligence of the coaches, employee and staff, or other causes. I represent that the participant, my child, is in good health and in proper physical and mental condition to participate in the activity. Should I ever believe that the activity is no longer safe for my child, it will be my responsibility to immediately discontinue their participation in the activity. I fully accept and assume all such risks and all responsibility for losses, cost and damages that may result from the activities.
Liability Release *
I hereby release, acquit, covenant not to sue and forever discharge Capital Gymnastics LLC, its owners, officers, administrators, employees, agents, volunteers, sponsors, advertisers, coaches and supervisors, and the owner or lessors of the premises on which the activity takes place, their respective agents and employees and all other persons providing facilities or assisting in the conduct of the activity and in the transportation of participants to and from the activity (collectively the "Released Parties) of and from any and all actions, causes of action, claims, demands, liability, losses or damages of whatever name or nature, including but not limited to those arising from or in any way related to the negligence of any of the Released Parties, that arise out of or are connected in any way to the gymnast's participation in the activity and the transportation of the above named gymnast to and from the activity (collectively the "Released Claims").
Indemnification *
I will defend, indemnify and hold harmless the Released Parties from (that is, to reimburse and be responsible for) any loss or damage, including but not limited to costs and reasonable attorney's fees (including the cost of any claim I might make or that might be made on my behalf of the gymnast's behalf that is released in this document), arising out of or connected in any way with any of the Released Claims.
Agreement *
I have read and understand this liability waiver and release, assumption of risk, and indemnity agreement. I understand that by signing this document I am giving up substantial rights. I am executing this document voluntarily and with full knowledge of its significance. This agreement shall remain in effect as long as and whenever my child participates in any activity related to Capital Gymnastics, LLC. If this agreement is not effective to waive liability on behalf of our child, ourselves, or any other family member, we further agree to indemnify Capital Gymnastics, LLC for its liability including all costs, fees, and expenses incurred in connection with such liability.
Photo and Video Release *
I authorize Capital Gymnastics LLC to use my or my child's photos, video, or audio for advertising, decorative, or promotional purpose.
Emergency Medical Authorization and Waiver *
In the event of an accident or an emergency, whil emy child is under the supervision and care of Capital Gymnastics LLC, I authorize Capital Gymnastics LLC to provide emergency first aid, emergency transportation, obtain emergency medical treatment, and act in my stead to follow such procedures as necessary to admit and treat and emergency condition, at any hospital, if it is deemed necessary. I agree to hold harmless Capital Gymnastics LLC and any hospital for commencing emergency medical treatment with any more consent than hereby given.
Safety Policies *
I understand and agree that no adults are permitted on or in any equipment. I understand that there can be uneven matting and surfaces throughout the facility. If I am viewing my child or children I will not interfere with the coaches, class, or other students because it is unsafe for me to do so. I will wait with my child if I bring them to class more than 10 minutes prior to class start time. I will drop off and pick up my child inside Capital Gymnastics LLC. It is unsafe for my child to wait outside. If my child is not picked up within 15 minutes after his or her class has ended, I will be charged a $15.00 fee.
Participant 1
Participants Name *
Participants Name
Date of Birth *
Date of Birth
Participant 2
Participants Name
Participants Name
Date of Birth
Date of Birth
Participant 3
Participants Name
Participants Name
Date of Birth
Date of Birth
Parent/Guardian *
Parent/Guardian
Address *
Address
Phone (C)
Phone (C)
Phone (H)
Phone (H)
Phone (W)
Phone (W)
Emergency Contact *
Emergency Contact
Phone *
Phone
Please Type Your Name As Proof Of Signature and Acceptance of the Terms of this Release Form:
Date *
Date
Date
Date