Tumble Doctor Training Liability Waiver

Athlete Release and Waiver for Participation

ALL participants MUST have a FULLY completed and signed release and waiver form in order to participate in the event.
Liability Release: For good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, I First Name* Last Name*, as parent or guardian of First Name* Last Name* hereby affirm , (hereinafter “participant”) hereby grant the permission necessary to allow the participant to take part in the event taking place which is to be conducted by Tumble Doctor, LLC (hereinafter TD). I, in my own behalf and in behalf of the participant, further agree to release and to hold harmless TD as well as any and all the respective directors, officers, representatives, members, agents from any and all liability, whether caused by negligence or otherwise for any claim, judgment, loss, liability, cost and expense, including, without limitation, attorney fees and costs, arising out of or connected with the event including any claim arising out of or connected with any illness or injury (minimal, serious, catastrophic and/or death) that the participant may incur or sustain during the event, all activities associated with the event and while traveling to and from the site of the event whether or not the event actually occurs.
I, in my own behalf and on behalf of the participant, hereby warrant that I have read the Liability Release entirely and fully understand its contents and am aware that upon signing this form, it fully releases TD and contains acknowledgement of my voluntary and knowing assumption of the risk of injuryor illness. I, in my own behalf and on behalf of the participant, have signed this document voluntarily and of my own free will.
Signature
Medical Release: I, in my own behalf and on behalf of the participant, acknowledge and agree that such participation subjects participant to possibility of physical illness or injury (minimal, serious, catastrophic, and/or death) and that I, in my own behalf and on behalf of the participant, acknowledge that the participant is assuming the risk of such illness or injury by participating in the event. In the event of such illness or injury, I authorize TD, to obtain necessary medical treatment of the participant and hereby in my own behalf and on behalf of the participant, release and hold harmless TD as well as any and all the respective directors, officers, representatives, members, agents in the exercise of this authority. I further acknowledge and understand that I will be responsible for any and all medical and related bills that may be incurred on behalf of the participant for any illness or injury that the participant may sustain during the event and while traveling to and from the site for the event.
I, on my own behalf and on behalf of the participant, hereby warrant that I have read this Release and Waiver form in its entirety and fully understand its content. I, in my own behalf and on behalf of the participant, am aware that this Release and Waiver form release any and all liability and contains an acknowledgement of my voluntary and knowing assumption of risk of injury or illness. I, on my own behalf and on behalf of the participant, further acknowl-edge that this Release and Waiver form in no way constitutes a guarantee that the event will occur. I, on my own behalf and on behalf of the participant, have signed this document voluntarily and of my own free will.of the participant, waive any right to inspect or approve any material related thereto.
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Signature
Appearance Agreement: I understand and grant permission to TD as well as any and all the respective directors, coaches, representatives, members, agents to include, use, produce and distribute any promotional material which may include videotapes, photographs, DVDs, postcards, online promotion, ad advertisement and web podcasting, which may include the participant. Therefore without reservation or limitation, I, in my own behalf and on behalf of the participant, hereby assign and transfer the exclusive right to use of participants name, face, voice, likeness, and appearance, as a part of the event, in advertising and promoting, the event and similar future events. I further understand that neither TD nor any third party is under obligation to exercise any of the foregoing rights, licenses and privileges. I, in my own behalf and on behalf of the participant, waive any right to inspect or approve any material related thereto.
Signature
Emergency Contact
Full Name

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Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Athlete Information
Date of Birth

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Date
Clinic Location

Gym Name

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Athlete Release and Waiver for Participation

Emergency Contact

Athlete Information