2024 Movement Creative Waiver

Assumption of Risk, Release of Liability, and Hold Harmless Agreement

I, hereby request voluntary participation to participate in movement programming with The Movement Creative.

I am familiar with the concept of Parkour and the physical demands involved, which include running, climbing, jumping, vaulting, and other strenuous actions sometimes involving height, speed, and unpredictable surfaces. I understand that Parkour is a high-impact, full-body activity which requires intense focus, awareness of my body’s strengths and limitations, awareness of the environment around me, and extreme caution at all times. I understand that I must exercise good judgment at all times in order to remain safe, including stopping immediately if I feel lightheaded, faint, weak, or in pain. If at any time I feel I cannot continue to participate safely for any reason, whether because of a physical condition, the actions of myself or others, or any other reason, I must immediately discontinue involvement. As with any strenuous physical activity, I am aware that I must take any and all necessary precautions, including but not limited to seeking advice from my physician, prior to taking part in the Events.

I understand and acknowledge that participation in the Events may involve risk of serious injury or death, including injuries which may result not only from my own actions, inactions, or negligence, but also from the actions, inactions, or negligence of others, the condition of the facilities, equipment, or areas where the Events is conducted, and/or the physically strenuous nature of Parkour. I (or my Parent or Guardian, where applicable) warrant and promise that I assume full responsibility for my conduct and safety at all times, whether or not in actual participation and/or at the Events site.

I certify that I am in good health and have no physical condition that would prevent participation in the Events or put me at greater risk for injury. I agree that all activities undertaken at the Events are conducted at my own risk. Furthermore, I agree to use my personal medical insurance as primary medical coverage payment if an accident or injury occurs. I consent to emergency medical treatment in the event such care is required. Knowing and understanding the risks involved with participation in the Events, I hereby voluntarily and willingly assume responsibility for all risks and dangers associated with my participation in the Events.

In consideration of my participation in the activity, I hereby waive all claims or causes of action against The Movement Creative Inc, John Rosenberg, Jesse Danger, their agents, volunteers, other participants, any sponsors, advertisers, and if applicable, owners and lessors of the premises on which the Events take place (collectively and hereinafter “Releases”).

I agree and covenant to indemnify and hold harmless Releases from all liability, claims, demands, losses, or damages on my account, whether caused or alleged to be caused in whole or in part by the negligence of the Releases or otherwise, and agree that if, despite this release, waiver of liability, and assumptions of risk, I or anyone on my behalf, makes a claim against any of the Releases, I will indemnify, save and hold harmless each of the Releases from any loss, liability, damage, litigation expense, attorney fees, or costs they may incur as the result of such a claim. I understand that participation in each activity and each part of the activity is voluntary. I understand that movements are taught as a progression and that by choosing to sit out of an activity, later activities may have more risk.

I hereby consent to the participation in interviews, the use of quotes, and the taking of photographs, movies or video recordings of the Student named above. I also grant the right to edit, use, and reuse said products for non-profit & commercial purposes, including use in print, on the internet, and all other forms of media. I also hereby release The Movement Creative and its agents and employees from all claims, demands, and liabilities whatsoever in connection with the above.

I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND HOLD HARMLESS AGREEMENT. I FULLY UNDERSTAND ITS TERMS, AND I UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY CHECKING THIS BOX AND HAVE CHECKED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE, OR GUARANTEES BEING MADE TO ME, AND INTEND MY CHECKING THIS BOX TO REPRESENT A SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY THE LAW.

Waiver of Liability Relating to Coronavirus/COVID-19

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is reported to be extremely contagious. The state of medical knowledge is evolving, but the virus is believed to spread from person-to-person contact and/or by contact with contaminated surfaces and objects, and even possibly in the air. People reportedly can be infected and show no symptoms and therefore spread the disease. The exact methods of spread and contraction are unknown, and there is no known treatment, cure, or vaccine for COVID-19. Evidence has shown that COVID-19 can cause serious and potentially life-threatening illness and even death.

The Movement Creative cannot prevent you [or your child(ren)] from becoming exposed to, contracting, or spreading COVID-19 while utilizing The Movement Creative’s services or premises. It is not possible to prevent against the presence of the disease. Therefore, if you choose to utilize The Movement Creative’s services and/or enter onto The Movement Creative’s premises or the premises of programming you may be exposing yourself to and/or increasing your risk of contracting or spreading COVID-19.

ASSUMPTION OF RISK: I have read and understood the above warning concerning COVID-19. I hereby choose to accept the risk of contracting COVID-19 for myself and/or my children in order to utilize The Movement Creative’s services and enter The Movement Creative’s premises. These services are of such value to me [and/or to my children,] that I accept the risk of being exposed to, contracting, and/or spreading COVID-19 in order to utilize The Movement Creative’s services and/or premises in person.

WAIVER OF LAWSUIT/LIABILITY: I hereby forever release and waive my right to bring suit against The Movement Creative and its owners, officers, directors, managers, officials, trustees, agents, employees, or other representatives in connection with exposure, infection, and/or spread of COVID-19 related to utilizing The Movement Creative’s services and premises. I understand that this waiver means I give up my right to bring any claims including for personal injuries, death, disease or property losses, or any other loss, including but not limited to claims of negligence and give up any claim I may have to seek damages, whether known or unknown, foreseen or unforeseen.

CHOICE OF LAW: I understand and agree that the law of the State of New York will apply to this contract.

I HAVE CAREFULLY READ AND FULLY UNDERSTAND ALL PROVISIONS OF THIS RELEASE, AND FREELY AND KNOWINGLY ASSUME THE RISK AND WAIVE MY RIGHTS CONCERNING LIABILITY AS DESCRIBED ABOVE. I am the parent or legal guardian of the minor named above. I have the legal right to consent to.

First Participant's Name

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First Participant's Date of Birth*

First Participant's Signature*

Second Participant's Name

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Second Participant's Date of Birth*

Third Participant's Name

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Third Participant's Date of Birth*

Fourth Participant's Name

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Fourth Participant's Date of Birth*

Fifth Participant's Name

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Fifth Participant's Date of Birth*

Sixth Participant's Name

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Sixth Participant's Date of Birth*

Seventh Participant's Name

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Seventh Participant's Date of Birth*

Eighth Participant's Name

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Eighth Participant's Date of Birth*

Ninth Participant's Name

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Ninth Participant's Date of Birth*

Tenth Participant's Name

First Name*

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Tenth Participant's Date of Birth*

11 Participant's Name

First Name*

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11 Participant's Date of Birth*

Parent or Guardian's Email Address

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A signed copy of this waiver will be sent to the email address you provide.

Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*

Are there any relevant pre-existing injuries, conditions, or allergies that our team should be mindful of?

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Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.

Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*

Parent or Guardian's Date of Birth*

Parent or Guardian's Signature

Electronic Signature Consent*

By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.

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