Photo/video release
I give Waterford Gymnastics Center, LLC, all rights and permission to use any photographs or video taken of my son/daughter on premises in any of our programs offered, at any Waterford Gymnastics events, performances, practices, classes, camps, or during any other services offered for use of promotional purposes for Waterford Gymnastics Center, LLC ONLY. Promotional purposes for Waterford Gymnastics Center LLC include print brochures, website, facebook, instagram, gymnast of the month, or any other promotional materials.
Release and Waiver of Liability, Assumption of Risk
RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK; AND INDEMNITY AGREEMENT ("AGREEMENT")
I represent that I understand the nature of this activity and that I am qualified, in good health and in proper physical condition to participate in such activity. I acknowledge that if I believe event conditions are unsafe or I am unable to safely perform any activity, I will immediately discontinue participation in the activity.
I fully acknowledge, understand, appreciate and agree, that this activity involves risks of serious bodily injury, including permanent disability, paralysis and death, which may be caused by my own actions, or inactions, those of others participating in the event, the conditions in which the event takes place, or the negligence of the Releasees named below; and that there may be other risks either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, cost, and damages I incur as a result of my participation in the activity.
I further acknowledge, understand, appreciate and agree that my participation may result in 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 serious illness and death does exist. I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the releasees or others, and assume full responsibility for my participation and exposure.
I hereby release, discharge, and covenant not to sue your business, it's administrators, directors, agents, officers, volunteers, employees, contractors, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of the premises on which the activity takes place, (each considered one of the "RELEASEES" herein) from all liability, claims, demands, losses, damages, on my account caused or alleged to be caused in whole or in party by the negligence of the RELEASEES or otherwise, including negligent rescue operations and further agree that if, despite this release, waiver of liability, and assumption of risk, I or anyone on my behalf, makes a claim against any of the RELEASEES, I will indemnify, defend, and hold harmless each of the RELEASEES from any loss, liability, damage, or cost, which any may incur as the result of such a claim.
I have read the RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, and I understand that I have given up substantial rights by signing it and have signed it freely and without any inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law. I agree that if any portion of this Agreement is held to be invalid, the balance, notwithstanding, shall continue in full force and effect.
Printed name of participant(s) _________________________________________________
PARENTAL CONSENT I, hereby covenant and promise that I am the minor's parent and/or legal guardian, and on behalf of myself and the minor, understand the nature of the above referenced activities and the minor's experience and capabilities and believe the minor to be qualified to participate in such activity. I further understand the risk of exposure to injury and/or infectious diseases, for myself and my child, as a participant, spectator at events, classes or our presence at the facility. I hereby release, discharge, covenant not to sue and AGREE TO DEFEND, INDEMNIFY AND HOLD HARMLESS each of the RELEASEES from all liability, claims, demands, losses or damages on the minor's or my account caused or alleged to have been caused in whole or in part by the negligence of the Releasees or otherwise, including, but not limited to injury, negligent rescue operations, and/or exposure to infectious diseases and I further agree that if, despite this release, I, the minor, or anyone on the minor's behalf makes a claim against any of the above RELEASEES, I WILL DEFEND, INDEMNIFY, AND HOLD HARMLESS each of the RELEASEES from any litigation expenses, attorney fees, loss liability, damage, or cost which any RELEASEE may incur as the result of any such claim.
Your virtual acceptance acknowledges that you have read, understand and accept the above stated release and waiver of liability and assumption of risk
Dated: __________________________ ________________________________ Printed Name of Parent/Legal Guardian _________________________________ Signature of Parent/Legal Guardian
Dated: ____________________________ __________________________________ Printed Name of Parent/Legal Guardian
________________________________ Signature of Parent/Legal Guardian
Medical Emergencies
AUTHORIZATION AND CONSENT OF PARENT(S) OR LEGAL GUARDIAN(S)
I do hereby state that I have legal custody of the aforementioned Minor. I grant my authorization and
consent for Waterford Gymnastics Center Staff to
administer general first aid treatment for any minor injuries or illnesses experienced by the Minor. If the
injury or illness is life threatening or in need of emergency treatment, I authorize Waterford Gymnastics Center Staff to
summon any and all professional emergency personnel to attend, transport, and treat the minor and to issue
consent for any X-ray, anesthetic, blood transfusion, medication, or other medical diagnosis, treatment, or
hospital care deemed advisable by, and to be rendered under the general supervision of, any licensed
physician, surgeon, dentist, hospital, or other medical professional or institution duly licensed to practice in
the state in which such treatment is to occur. I agree to assume financial responsibility for all expenses of
such care.
It is understood that this authorization is given in advance of any such medical treatment, but is given to
provide authority and power on the part of Waterford Gymnastics Center and their staff in the exercise of his or her best judgment
upon the advice of any such medical or emergency personnel.