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Precision Athletics Waiver

Waiver and Release of Liability Form for Minor Children

Waiver and Release of Liability Form for Minor Children

DISCLAIMER
Precision Athletics, LLC (Precision Athletics) is not responsible for any injury (or loss of property) to any person while participating in open gym, special events, demonstrations or shows, or in any other way involved in gymnastics, birthday parties, private lessons and open gyms at Precision Athletics for any reason whatsoever, including ordinary negligence on the part of Precision Athletics, its members, managers, agents, or employees.

CONSENT
I consent to my/minor's participation in the activity and acknowledge that I fully understand my/minor's participation may involve risk of serious injury, illness, or death, including losses which may result not only from my/minor's 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 activity is being conducted, and/or the rules of play of this type of activity. I understand that if I have any risk concerns, I shall discuss them completely with the staff before I sign this agreement and before my/minor's participation in the activity begins.
Knowing and understanding the risks involved with participation in the activity, I hereby voluntarily and willingly assume full and complete responsibility for all losses and damages, including injury, illness, and death, resulting from my/minor's participation in the activity, including transportation to and from the activity. I agree I am financially responsible for any losses and damages resulting from my/minor's participation in the activity.

WAIVER
In consideration for my/minor's participation in the activity, I hereby waive all claims or causes of action, including ordinary negligence, against Precision Athletics, its managers and members, and any of their employees, teachers, coaches, or agents, arising out of my/minor's participation in the activity wherever, whenever or however the same may occur.

I understand this waiver is intended to be as broad and as inclusive as permitted by the laws of the State of Wisconsin and agree that if any portion is held invalid, the remainder of the waiver will continue in full legal force and effect. I further agree that the venue for any legal proceedings shall be within the State of Wisconsin.

CONCUSSION AWARENESS
I understand the common signs, symptoms, and behaviors associated with head injury/concussion. If a concussion is suspected:

My child must be removed from Activity.
It is my responsibility to seek medical treatment for my child.
My child must not return to Activity until providing written clearance from an appropriate health care provider.

MEDICAL AUTHORIZATION
I give permission for Precision Athletics, LLC owners, officers, employees, and/or agents to seek emergency medical treatment for the participant(s) in the event they are unable to reach any parent or guardian. The undersigned also agrees that they themselves will be responsible for any financial debt incurred by said action.

PHOTO & VIDEO RELEASE
I understand and agree that my/minor's picture can be taken or be filmed while participating in activities at Precision Athletics or when representing Precision Athletics at events. I hereby grant to Precision Athletics, and its agents, employees and photographers, the right to take, use, publish, and copyright photograph(s) and videos of me/my minor's in press releases, advertisements, publications, and/or promotions of Precision Athletics, including on Precision Athletics's website and on social media websites, such as Facebook, Instagram and YouTube, maintained by Precision Athletics and/or its individual employees and/or agents. I hereby release and waive Precision Athletics, and its agents, employees, photographers and videographers, from any and all claims or demands arising out of or in connection with said photographs or videos or the publications of said photographs or videos.

Electronic Signature Consent
By agreeing 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 agreeing 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.

Parent or Legal Guardian
Please confirm you are the parent or legal guardian for all minor children listed on this form.

 

First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Information
Please list any allergies
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Second Participant's Information
Please list any allergies
Third Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Information
Please list any allergies
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Information
Please list any allergies
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Information
Please list any allergies
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Information
Please list any allergies
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Information
Please list any allergies
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Information
Please list any allergies
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Information
Please list any allergies
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Information
Please list any allergies
Parent or Guardian's Email Address
Email*
Confirm Email*
Check to receive information, news, and discounts by e-mail.
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.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Middle Name
Last Name*
Relationship*
Phone*
Parent or Guardian's Date of Birth*
Date of Birth
Parent or Guardian's Information
Please list any allergies
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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