As Parent/Guardian of the above minor participant I agree, being aware of my minor child's health and physical condition, and having knowledge that their participation in any exercise program may be injurious to their health, we are voluntarily participating in physical activity with Rise Academy of Arts, LLC.
Having such knowledge, we hereby release Rise Academy of Arts, LLC, their representatives, agents, and successors from liability for accidental injury, illness or death, which may incur as a result of participating in the said physical activity. we hereby assume all risks connected therewith and consent to participate in said program.
We agree to disclose any physical limitations, disabilities, ailments, or impairments that may affect my minor child's ability to participate in said program.
As legal guardian of the child listed above, hereafter, child(ren) I recognize what potentially severe injuries, including permanent paralysis or death can occur in sports or activities involving height or motion, including but not limited to gymnastics, tumbling, trampoline, dance, cheerleading, Extreme Ninja, parties, and special events. Being fully aware of these dangers, I voluntarily consent and ACCEPT ALL RISKS associated with the participation of the aforementioned person(s) participating, as well as myself, in any and all Rise Academy of Arts, LLC programs and activities including if I as a parent or guardian must enter the gym for any reason. Also, if my child requires an inhaler or epi pen, I understand I am required to stay with him/her or get a doctor’s release. If any participants are injured (cast, crutches, recent stitches, etc.) they may participate by observation only, unless we have a doctor’s release.
In consideration for allowing me and my child(ren) to use these facilities, I, on my behalf of my child(ren) and our respective heirs, administrators, executors and successors, hereby COVENANT NOT TO SUE and FOREVER RELEASE Rise Academy of Arts, LLC, its officers, directors, employees or agents from all liability for any and all damages or injuries suffered by my child(ren) while under the instruction, supervision, or control ofRise Academy of Arts, LLC, including, without limitation, those damages or injuries resulting from acts of negligence on the part of its officers, directors, shareholders, employees, or agents.
In the event of an emergency I would like my above mentioned child(ren) to be taken to a hospital for medical treatment and I hold Rise Academy of Arts, LLC and its representatives harmless in their execution of this action. Additionally, I hereby agree to individually provide for all possible future medical expenses which may be incurred by me or my child as a result of any injury sustained while participating at or for Rise Academy of Arts, LLC.
By attending this birthday party listed above, I am granting your permission for my child to be filmed, videotaped, audiotaped or photographed by any means and are granting full use of your likeness, voice, and words without compensation.
I have read and understood this ASSUMPTION OF RISK, WAIVER OF LIABILITY and MEDICAL AUTHORIZATION. I VOLUNTARILY affix my name in agreement.