Informed Consent and Acknowledgement
WAIVER, RELEASE AND INDEMNITY
This is a legal document. Please read it thoroughly.
WARNING: By signing this form you relinquish your right to bring court action to be compensated for any injury or loss to yourself,
as well as the right of your personal representative to seek compensation for your death.
I, the Undersigned, understand and acknowledge that I am aware of the risks associated with or related to participating in Cirquetastic
Circus and Acrobatic Ltd. programming arts, acrobatics, balancing, circus stunts, trapeze and other disciplines (the "Activities") offered and/or coordinated by Cirquetastic Circus and Acrobatics
Ltd. (the "Operator") at 6820, 50th Street, Edmonton, Alberta (the "Lands"), the undersigned, for ourselves, and our personal representatives, heirs and next of kin (collectively the "Undersigned"), acknowledge and agree with the Operator that:
By signing this waiver, I acknowledge and agree that:
• Circus, fitness and other activities offered at Cirquetastic Circus and Acrobatics Ltd. may involve an element of risk, which may result in bodily injury, including the risk of severe or fatal injury, to myself or my child/ward.
• Circus activities may require a coach or staff member to perform manual spotting involving direct physical contact to assist the participant in safely performing program skills.
• I confirm that I, or my child/ward, am/is fit to participate in circus activities, including but not limited to climbing, tumbling, balancing, and activities on aerial equipment and on the ground.
• I, for myself and, if applicable, my child/ward, and each of our respective heirs, executors, administrators and assigns, release Cirquetastic Circus and Acrobatics Ltd., and its servants, agents, directors, officers and employees (collectively Cirquetastic), from claims, demands, damages, actions or causes of action arising from loss, injury or damage to person or property incurred while attending or participating in activities offered at Cirquetastic, notwithstanding that such loss, injury or damage may have arisen by reason of the negligence of Cirquetastic or any person forwhom it is at law responsible.
• I have read this waiver in full, understand its terms, and understand that I am giving up substantial rights, including my right to sue.
• I am unaware of any physical or mental condition or impediment that would prevent or hinder myself or my child/ward from participating safely in Cirquetastic programs.
• I confirm that I have accurately reported and disclosed any medical information (physical and mental) to Cirquetastic Circus and Acrobatics Ltd. that is necessary for proper program involvement and care of the participant.
• I agree to these terms and conditions freely and voluntarily and intend this agreement to be a complete and unconditional release of liability to the greatest extent allowed by law.
• As the parent/guardian of a minor participant, I have explained the above conditions and their ramifications to my child/ward and consent to their participation in programs conducted by Cirquetastic Circus and Acrobatics Ltd.
I agree to release Cirquetastic from any and all liability for the unintentional exposure or harm due to the coronavirus (COVID-19) during this circus season 2025-2026.
Refunds are issued for medical reasons only and a medical certificate or doctor's note must be provided. Medical cancellation will receive a pro-rated refund (less $30 for administrative fee ).
We do not offer make up classes.
In Witness Whereof I have executed this document at the City of Edmonton in the Province of Alberta.
Confirmation
BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.