General Waiver – C.S. Gymnastics, Inc.

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Name

First

Last

Date of Event

If OTHER please specify below

Parent/Guardian of Guest Name

First

Last

Address, City, State & Zip

Phone #

Participant 1 Name

First

Last

Participant 1 Date of Birth

Participant 2 Name

First

Last

Participant 2 Date of Birth

Consent to Participate: As parent/guardian I hereby allow my child(ren) to participate in the above event. I verify that they are in good health and able to participate at C.S. Gymnastics, Inc. without the assistance from a parent/guardian. If assistance is required, the parent/guardian MUST sign a separate waiver. (Please contact/notify C.S. Gymnastics, Inc. immediately). TYPE INITIALS BELOW:

Release and Waiver of Liability: In allowing my child’s voluntary participation, I understand that while the sport of gymnastics can be a fun and enriching experience, I also understand that participation in any gymnastics program can be responsible for catastrophic/permanent injury. I do hereby release, waive, discharge, and promise not to sue C.S. Gymnastics, Inc., its owner, coaches, instructors, and staff from liability from any and all claims, including the negligence of C. S. Gymnastics, Inc., resulting in personal injury (including death), accidents or illnesses, and property loss, in connection with my child(ren)’s participation in Gymnastics or Ultimate Ninja Athlete (UNA) classes, team practice and any use of C.S. Gymnastics, Inc. premises, facilities and equipment. TYPE INITIALS BELOW:

Assumption of Risks: Participation in Gymnastics or UNA carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injury. The specific risks vary from one activity to another, but the risks range from 1)minor injuries such as rips, blisters, scratches, bruises, and sprains, to 2) major injuries such as eye injury, joint or bone injuries, heart attacks, and concussions, to 3) catastrophic injuries such as paralysis and death. I acknowledge and assume the risk of my child's participation in the above indicated event, gymnastics, and/or UNA.TYPE INITIALS BELOW:

Indemnification and Hold Harmless: I also agree to indemnify and hold C. S. Gymnastics, Inc. harmless from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney’s fees, arising out of my child(ren)’s involvement in Gymnastics or UNA, and to reimburse it for any such expenses incurred. TYPE INITIALS BELOW:

Severability: I further agree that this Waiver of Liability, Assumption of Risk, and Indemnity Agreement is intended to be as broad and inclusive as permitted by law, and that if any portion is held invalid the remaining portions will continue to have full legal force and effect. TYPE INITIALS BELOW:

Governing Law and Jurisdiction: This Agreement shall be governed by the laws of the State of New Jersey, and any disputes arising out of or in connection with this Agreement shall be under the exclusive jurisdiction of the Courts of the State of New Jersey. TYPE INITIALS BELOW:

Acknowledgment of Understanding: I have read this Waiver of Liability, Assumption of Risk, and Indemnity Agreement, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I confirm that I am signing the agreement freely and voluntarily and intend my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law. TYPE INITIALS BELOW:

I have read and understand the above releases and agree to them. TYPE INITIALS BELOW:

Parent/Guardian Signature

Date