I understand that there are risks of physical injury associated with, arising out of and inherent to the activity of cheer-leading, tumbling, stunting, acrobatics, parkour, fitness and dance. In recognition of this acknowledged risk of injury, I knowingly and voluntarily waive all rights and/or causes of action of any kind, including any and all claims of negligence, arising as a result of such activity from with liability could accrue to The Movement Center LLC, its officers, agents, employees, instructors, owners and all affiliated entities (hereinafter collectively referred to as The Movement Center LLC).
X____________ (initial)
In consideration of being allowed to participate on behalf of The Movement Center LLC and related events and activities, the undersigned acknowledges, appreciates, and agrees that: Participation includes possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of illness and death does exist; and, I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the releases or others, and assume full responsibility for my participation; and, I willingly agree to comply with the stated and customary terms and conditions for participation as regards protection against infectious diseases. If, however, I observe any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and, I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release and hold harmless The Movement Center LLC their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event ("Releasees"), with respect to any and all illness, disability, death or loss or damage to person or property, whether arising from the negligence or releases or otherwise, to the fullest extent permitted by law. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IF FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
X____________ (initial)
FOR PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT THE TIME OF REGISTRATION) This is to certify that I, as parent/guardian, with legal responsibility for this participant, have read and explained the provisions in this waiver/release to my child/ward including the risks of presence and participation and his/her personal responsibilities for adhering to the rules and regulations for protection against communicable diseases. Furthermore, my child/ward understands and accepts these risks and responsibilities. I for myself, my spouse, and child/ward do consent and agree to his/her release provided above for all the Releases and myself, my spouse, and child/ward do release and agree to indemnify and hold harmless the Releases for any and all liabilities incident to my minor child's/ward's presence or participation in these activities as provided above, even if arising from their negligence, to the fullest extent provided by law.
X____________ (initial)
I hereby agree to release The Movement Center LLC and hold The Movement Center LLC harmless of all liability, and hereby acknowledge that I knowingly and voluntarily assume full responsibility for all risks of physical injury arising out of active participation in cheerleading, tumbling, stunting, acrobatics, fitness and dance on behalf of the participant. I am aware that this is a release of liability and acknowledgement of my voluntary and knowing assumption of risk of injury. I have signed this document voluntarily and of my own free will in exchange for the privilege of participation. If I am a minor, my parent and/or legal guardian has signed this document releasing The Movement Center LLC from any and all such liability described above and has acknowledged that I am knowingly and voluntarily assuming all risk of injury inherent to this activity. I also understand that all monies paid for classes, registration fees, tuition, merchandise, and pop-up/drop-in classes will not be refunded once paid to The Movement Center LLC. All payments are Non- Refundable.’
X____________ (initial)
I hereby authorize The Movement Center LLC owners to act on my behalf to provide emergency medical treatment. I further release The Movement Center LLC of all liabilities associated with me or my child's attendance at The Movement Center LLC. The Movement Center along with its officers, agents, employees, instructors, owners and all affiliated entities (hereinafter collectively referred to as The Movement Center LLC) has my permission to obtain emergency medical treatment for me or my child when I cannot be reached or if a delay in reaching my child would be dangerous for him/her. I understand that I assume all financial responsibility for any treatment or injuries sustained by me or my child while I/he/she is in child care.
X____________ (initial)
Media release: The Movement Center LLC has my permission to use me and my child's photograph and video to promote The Movement Center LLC. I understand that the images and videos may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.
X____________ (initial)
As the participant, parent or guardian of ____________________________________________ (adult or child’s name), I hereby verify by my signature below that I fully understand and agree to all The Movement Center LLC policies and procedures as a condition to me or my child being permitted to participate in classes, events and activities conducted by The Movement Center LLC.
X Signature________________________________________________________________________
X Print name CLEARLY _______________________________________________________Date____________
X Class that student is trying out _____________________________________________
X Email address and/or phone number___________________________________________________________