Acknowledgement of Risk: I am the parent and/or legal guardian of the participant listed in this waiver. I recognize that severe injuries, including permanent paralysis or death can occur in sports or activities involving height or motion; those activities include but are not limited to gymnastics, tumbling, trampoline, movement education, dance, and stunting.
Confirmation Of Physical Readiness: I also recognize that my child(ren) will be participating in such activities while attending this event. I certify that I have consulted a physician, to the extent that I deem appropriate, concerning my child(ren)s participation in these activities. I represent to Adrenaline Gymnastics Academy Inc (AGA), that my child is medically, physically, and mentally fit to participate.
Consent and Assumption of Risk: Being fully aware of these dangers, I hereby give consent for my child(ren) to participate in all activities associated with the attended event, and I accept all risks associated with this participation.
First Aid/Emergency Actions: In the event my child is injured or becomes ill when I am not present and reasonable efforts to contact me at the phone numbers I have provided have been unsuccessful, I hereby give my consent for (1) general first aid to be provided by AGA Staff, (2) the transfer of my child to any hospital or medical facility that is reasonably accessible if deemed necessary by AGA staff, and (3) the administration to my child of any treatment deemed necessary by any licensed physician or dentist. This authorization does not cover major surgery unless I cannot be contacted, and in the opinions of two other licensed physicians or dentists, concurring in the necessity for such surgery, are obtained prior to the performance of such surgery. Facts concerning my child’s medical history (allergies, medications being taken, physical impairments, etc.) are listed in my account.
Waiver and Release: In consideration for my or my child(ren)s participation, I hereby for myself and my child(ren) and our respective heirs and successors, promise not to sue and forever release and discharge AGA, it’s officers, directors, shareholders, employees, contractors, teachers, coaches, volunteers, and vendors performing actions on facility property, from all liability resulting in damages or injuries incurred as a result of participation in AGA programs or events, including those resulting from acts of negligence. I understand that AGA has relied upon this agreement in determining the extent of insurance coverage to be obtained, and that in the absence of this release, AGA would charge considerable higher fees to participants.
I further represent and acknowledge that, should I ever believe that any of the above representations become untrue, or if I should ever believe that the Activity is not safe or is no longer safe for my child, or that I am unwilling to follow the published rules and policies, that it will be my responsibility to remove my child from the activity.
I have read this release and understand its terms. I understand that by accepting this release, I am giving up substantial rights. I execute it voluntarily and with full knowledge of its significance.