STIX SGV Digital Waiver
Please read the waiver carefully and provide your information and signature to acknowledge. ASSUMPTION OF RISK: I understand that skateboarding and related activities are inherently dangerous and may result in serious injury,paralysis, concussion, property damage, or death. I voluntarily assume all known and unknown risks associated with participation in any STIX SGV lessons, camps, events, parties, demos, or activities. RELEASE OF LIABILITY: To the fullest extent permitted by law, I release and hold harmless STIX SGV, its owners, employees, instructors, volunteers, affiliates, sponsors, landlords, agents, and representatives from any claims, liabilities,damages, injuries, losses, or expenses arising out of participation in STIX SGV activities, including claims arising from ordinary negligence. MEDICAL AUTHORIZATION: I authorize STIX SGV to obtain emergency medical treatment if deemed necessary. I understand that STIX SGV does not provide medical insurance and that I am solely responsible for any medical expenses incurred. EQUIPMENT & SAFETY: I understand that skateboards, helmets, ramps, rails, obstacles, and protective equipment may fail or malfunction. Helmets and protective gear may reduce injury risk but do not eliminate the possibility of serious injury or death. PARTICIPANT CONDUCT: STIX SGV reserves the right to remove participants for unsafe behavior, misconduct, harassment, vandalism, failure to follow instructions, or dangerous conduct. No refunds will be provided for removals related to safety violations. PHOTO / VIDEO RELEASE: I grant STIX SGV permission to photograph and record participants for promotional, website, social media, editorial, and marketing purposes without compensation or further approval. INDEMNIFICATION: I agree to defend, indemnify, and hold harmless STIX SGV from claims, damages, liabilities, costs, or attorneys’ fees arising from participation in STIX SGV activities or damage caused by participant conduct. ACKNOWLEDGMENT: I certify that I have carefully read and fully understand this Agreement, understand that I am giving up substantial legal rights, and sign this Agreement freely and voluntarily. If signing on behalf of a minor participant, I certify that I am the parent or legal guardian and have authority to execute this Agreement.
Is the participant 18 years or older?
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Yes
No
ADULT/PARENT/GUARDIAN FULL NAME
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First Name
Last Name
ADULT/PARENT/GUARDIAN PHONE NUMBER
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Please enter a valid phone number.
Format: (000) 000-0000.
ADULT/PARENT/GUARDIAN EMAIL ADDRESS
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example@example.com
ADULT/PARENT/GUARDIAN DATE OF BIRTH
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Month
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Day
Year
Date
MINOR PARTICIPANT NAME
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First Name
Last Name
MINOR DATE OF BIRTH
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Month
-
Day
Year
Date
ADULT/PARENT/GUARDIAN RELATIONSHIP TO MINOR
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EMERGENCY CONTACT
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EMERGENCY CONTACT PHONE NUMBER
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Please enter a valid phone number.
Format: (000) 000-0000.
ADULT/PARENT/GUARDIAN SIGNATURE
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Date
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-
Month
-
Day
Year
Date
Submit
Submit
Should be Empty: