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Prior to participation, this form must be signed by at least one parent/legal guardian of the participant if the participant is not yet 18 years old. The participants signature is required if the participant is 18 years of age or older.

In consideration of Elite Gymnastics Academy, LLC allowing the gymnast to participate in sports activity, class, competition, team, including non-gymnasticsactivities such as Ninja Zone, special events, birthday parties, field trips, open gym, open houses, camps, and playground activities (hereinafter referred to asthe "Activity"), I, and if I am not yet 18-years-old, my parents or legal guardians, agree to be bound as follows (the term I in this release refers to both thegymnast/participant and his or her parents or legal guardians):

  • Acknowledgement and Assumption of Risks.I understand the Activity involves risks of serious body injury, including permanent disability,paralysis, and death, which may be caused by the gymnasts actions or inactions, those of others participating in the Activity, the conditions inwhich the Activity takes place, the negligence of the Released Parties named below, or other causes. I further understand there may be other riskseither not known to me or not readily foreseeable at this time. I fully accept and assume all such risks and all responsibility for losses, cost, anddamages that may result from the Activity and to transportation to and from the Activity.
  • Representation of Ability to Participate.I understand the nature of the Activity, and I represent that the gymnast is qualified, in good health, andin proper physical condition to participate in the Activity. Should I ever believe any of the above representations have become untrue, or if I shouldever believe the Activity is not safe or is no longer safe for the gymnast, then it will be my responsibility to immediately discontinue the gymnastsparticipation in the Activity.
  • Release.I hereby release, acquit, covenant not to sue, and forever discharge Elite Gymnastics Academy, LLC, its owners, officers, administrators,employees, agents, volunteers, sponsors, advertisers, coaches and supervisors, and the owners or lessors of any facilities within which the Activityis conducted, their respective agents and employees, and all other persons providing facilities or assisting on the conduct of the Activity and in thetransportation of participants to and from the Activity (collectively the Released Parties) of and from any and all actions, caused of action, claims,demands, liability, losses, or damages of whatever name or nature, including but not limited to those arising from or in any way related to thenegligence of any of the Released Parties, that arise out of or are connected in any way to the gymnasts participation in the Activity and thetransportation of the above named gymnast to and from the Activity (collectively the Released Claims).
  • Indemnification.I will defend, indemnify, and hold harmless the Released Parties from (that is, to reimburse and be responsible for) any loss ordamage, including but not limited to cost and reasonable attorneys fees (including the cost of any claim I might make or that might be made on mybehalf or the gymnasts behalf that is released in this document), arising out of or connected in any way with any of the Released Claims.
  • Media Consent and Release.Elite Gymnastics Academy, LLC occasionally gathers photos and/or video media content about its Activities and anyphoto and/or video taken of my child(ren) may be used for Elite Gymnastics Academy, LLC publicity and promotional purposes. I hereby grantpermission to Elite Gymnastics Academy, LLC to use, edit, and reuse my child(ren)s photograph or likeness in any publicity or promotional mediamaterials including use in print, on the Internet, and all other forms of media. I also hereby release Elite Gymnastics Academy, LLC and its agentsand employees from all claims, demands, and liabilities whatsoever in connection with the above.

I HAVE READ AND UNDERSTOOD THIS ACKNOWLEDGMENT AND ASSUMPTION OF RISKS, REPRESENTATION OF ABILITY TO PARTICIPATE, RELEASE,INDEMNIFICATION, AND MEDIA CONSENT AND RELEASE. I HAVE ALSO READ, UNDERSTOOD, AND AGREE TO ABIDE BY EGAs CANCELLATION POLICIES.ALL TERMS, CONDITIONS, POLICIES, AND PROCEDURES ARE SUBJECT TO CHANGE AT ANY TIME, WITHOUT NOTICE, IN OUR SOLE DISCRETION. IUNDERSTAND BY SIGNING THIS DOCUMENT, I AM GIVING UP SUBSTANTIAL RIGHTS. I AM EXECUTING THIS DOCUMENT VOLUNTARILY AND WITH FULLKNOWLEDGE OF ITS SIGNIFICANCE.

I Agree

First Participant's Name

First Name*

Last Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

Last Name*
Tenth Participant's Date of Birth*
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
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*

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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