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Release and Consent Agreement

The undersigned student and/or parent or legal guardian of a student of The Gravity Forge Gymnastics and Ninja Warrior Training Center Inc., by signing this contract, expressly acknowledges that this contract contains release and other risk-shifting provisions which may be operated to shift risk from The Gravity Forge Gymnastics and Ninja Warrior Training Center Inc., to the undersigned student and/or parent or legal guardian of a student of The Gravity Forge Gymnastics and

Ninja Warrior Training Center Inc., and the student and/or parent of legal guardian of a student of The Gravity Forge Gymnastics and Ninja Warrior Training Center Inc., expressly accepts the responsibilities and duties resulting from such provisions. The individual(s) signing the agreement admit(s) reading and understanding the terms contained in this agreement. I (we) the undersigned student and/or parent or legal guardian of a student of The Gravity Forge Gymnastics and Ninja Warrior Training Center Inc., for an in consideration of enrollment and/or the enrollment of the student, my child or a student for whom I have been granted legal custody herby voluntarily and knowingly execute this release with the express intention of effecting the extinguishments of and complete release from any and all claims, actions, demands or rights to monetary judgments whatsoever arising from any and all injury or physical harm which may occur to the student, including specifically those that may arise out of, or be occasioned by, directly or indirectly, any negligent act(s) or omission(s) of The Gravity Forge Gymnastics and Ninja Warrior Training Center Inc., its officers, agents, employees or servants during the students attendance at and participation in any activities associated with The Gravity Forge Gymnastics and Ninja Warrior Training Center Inc., both on and off The Gravity Forge Gymnastics and Ninja Warrior Training Center Inc., premises. The undersigned expressly agrees that this release and waiver is intended to be as broad and inclusive as permitted by the laws of the Commonwealth of Pennsylvania, and that if any portion of this release and waiver is held to be invalid, it is agreed that the balance shall; notwithstanding, continue to full legal force and effect. This release contains the entire agreement between the parities and the terms of this release are contractual and not merely a recital.

I Agree

Medical Consent and Release

I, the student and/or the undersigned parent or legal guardian of the above named student do hereby expressly grant authority to the staff of The Gravity Forge Gymnastics and Ninja Warrior Training Center Inc., to render a judgment concerning medical assistance in the event of an accident, injury or illness during my absence and execute this consent and release provision with the express intention of effecting the extinguishments of and complete release from any and all claims, actions, demands or rights to monetary judgments whatsoever arising from any and all injury or physical harm which may arise from the rendering of such judgments, including, specifically those that may arise out of or be occasioned by, directly or indirectly, any negligent act(s) or omission(s) of The Gravity Forge Gymnastics and Ninja Warrior Training Center Inc., its officers, agents, employees or servants involved in the rendering of such judgments. Furthermore, in the case of an emergency I consent and expressly grant the staff of The Gravity Forge Gymnastics and Ninja Warrior Training Center Inc., the authority to obtain medical assistance and treatment as they deem necessary. I understand that The Gravity Forge Gymnastics and Ninja Warrior Training Center Inc., its officers, agents, employees or servants shall not be responsible for any medical expenses incurred on behalf of the above named student, and that I am responsible for all payment of medical expenses so incurred.

I give permission and consent for a licensed doctor or physician to administer the necessary aid to my child or legal ward should he/she become injured or sick while in attendance at or while participating in any activity associated with The Gravity Forge Gymnastics and Ninja Warrior Training Center Inc., and to do so without having to wait until I (we) are contacted.

I Agree

 

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
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Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
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*

Relationship*

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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