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Metro Movement

www.metromovements.com

bethanyahammer@gmail.com

571-39-DANCE

RELEASE AND WAIVER OR LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT (“AGREEMENT”)

 

PLEASE READ CAREFULLY.  THIS IS A WAIVER AND RELEASE OF LIABILITY OF CERTAIN LEGAL RIGHTS.

 

In consideration of participating in Dance, Tumbling, Gymnastics, and/or Cheer class and/or camp (“Activity”), I represent that I understand and acknowledge the nature of Activity and that I am qualified, in good health, and in proper physical condition to participate in Activity.  I acknowledge that if I believe conditions are unsafe, I will immediately discontinue participation in Activity.  I fully understand that Activity involves risks of serious bodily injury, including permanent disability, paralysis and death, which may be caused by my own actions, or inactions, those of others participating in the Activity, the conditions in which the Activity takes place, or the negligence of the “Releasees” named below; and that there by be other risks either not known to me or not readily foreseeable at this time; and I fully accept and assume such risks and all responsibility for losses, cost, and damages I incur as a result of my participation in the Activity.

 I further acknowledge, understand, appreciate and agree that my participation may result in possible exposure to and illness from infectious diseases, including, but not limited to, MRSA, Influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist. I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the releasees or others, and assume full responsibility for my participation and exposure.

I hereby release, discharge, and covenant not to sue The Hammer Company, LLC DBA Metro Movement (“Metro Movement”), its respective administrators, directors, agents, officers, volunteers, and employees, other participants, any sponsors, advertisers, and if applicable, owners and lessors of premises on which the Activity takes place, (herein collectively referred to as the “RELEASEES”) from all liability, claims, demands, losses, or damages, on my account caused or alleged to be caused in who or in party by the negligence of the “Releasees”  or otherwise, including negligent rescue operations and future agree that if, despite this release, waiver of liability, and assumption of risk I, or anyone on my behalf, makes a claim against any of the Releasees, I will indemnify, save, and hold harmless each of the Releasees from any loss, liability, damage, or cost, which any may incur as the result of such claim. 

 

I have read the RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDMENTIFY AGREEMENT, understand that I have given up substantial rights by signing it and have signed freely and without any inducement or assurance of any nature and intend it to be a completely and unconditional release of all liability to the greatest extent allowed by law.  This Agreement shall be binding to the fullest extent of the law.  If any portion of this Agreement is found to be unenforceable, the remaining terms shall survive and shall continue in full force and effect.  This Agreement shall be governed by Virginia laws, and jurisdiction and venue shall be in Fairfax County, Virginia. 

 

I HAVE CAREFULLY READ THE FOREGOING RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDMENTIFY AGREEMENT, UNDERSTAND AND ACKNOWLEDGE ITS CONTENTS, AND SIGN IT VOLUNTARILY. 

 

I Agree

 

PARENTAL CONSENT

If the participant is a minor, I, the minor’s parent and/or legal guardian, understand and acknowledge the nature of the above referenced Activity and the minor’s experience and capabilities and believe the minor to be qualified to participate in such activity.  I hereby Release, Discharge, covenant not to sue and AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS each of the Releasees from all liability, claims, demands, losses or damages on the minor’s account caused or alleged to have been caused in whole or in part by the negligence of the Releasees or otherwise, including negligent rescue operations, and further agree that if, despite this release, I, the minor, or anyone on the minor’s behalf makes a claim against any of the above Releasees, I WILL INDMENIFY, SAVE AND HOLD HARMLESS each of the Releasees from any litigation expenses, attorney fees, loss liability, damage, or cost any Releasee may incur as the result of such claim.  I understand and acknowledge that I am signing this Agreement on behalf of the minor, and that the minor, parent/legal guardian, and any assigns or personal representative of minor shall be bound by the terms of this Agreement.  Further, by signing this Agreement as the parent or legal guardian of the minor, I understand and acknowledge that I am waiving certain rights on behalf of the minor which the minor may have, and that I, as the parent/legal guardian of the minor, has the full legal authority to act on behalf of such minor.  

I Agree

Date Signed: April 4, 2025

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Waiver
By agreeing, participant consent(s) to the Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement for ANY AND ALL ACTIVITIES, INCLUDING BUT NOT LIMITED TO DANCE, TUMBLING, GYMNASTICS, AND/OR CHEER CLASSES AND/OR CAMPS, TAKEN, SPONSORED, AND/OR ASSOCIATED WITH METRO MOVEMENT. *
Parent/Legal guardian agrees (for minor)
Adult Participant Agrees
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Second Participant's Date of Birth*
Second Participant's Waiver
By agreeing, participant consent(s) to the Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement for ANY AND ALL ACTIVITIES, INCLUDING BUT NOT LIMITED TO DANCE, TUMBLING, GYMNASTICS, AND/OR CHEER CLASSES AND/OR CAMPS, TAKEN, SPONSORED, AND/OR ASSOCIATED WITH METRO MOVEMENT. *
Parent/Legal guardian agrees (for minor)
Adult Participant Agrees
Third Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Third Participant's Date of Birth*
Third Participant's Waiver
By agreeing, participant consent(s) to the Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement for ANY AND ALL ACTIVITIES, INCLUDING BUT NOT LIMITED TO DANCE, TUMBLING, GYMNASTICS, AND/OR CHEER CLASSES AND/OR CAMPS, TAKEN, SPONSORED, AND/OR ASSOCIATED WITH METRO MOVEMENT. *
Parent/Legal guardian agrees (for minor)
Adult Participant Agrees
Fourth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Fourth Participant's Date of Birth*
Fourth Participant's Waiver
By agreeing, participant consent(s) to the Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement for ANY AND ALL ACTIVITIES, INCLUDING BUT NOT LIMITED TO DANCE, TUMBLING, GYMNASTICS, AND/OR CHEER CLASSES AND/OR CAMPS, TAKEN, SPONSORED, AND/OR ASSOCIATED WITH METRO MOVEMENT. *
Parent/Legal guardian agrees (for minor)
Adult Participant Agrees
Fifth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Fifth Participant's Date of Birth*
Fifth Participant's Waiver
By agreeing, participant consent(s) to the Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement for ANY AND ALL ACTIVITIES, INCLUDING BUT NOT LIMITED TO DANCE, TUMBLING, GYMNASTICS, AND/OR CHEER CLASSES AND/OR CAMPS, TAKEN, SPONSORED, AND/OR ASSOCIATED WITH METRO MOVEMENT. *
Parent/Legal guardian agrees (for minor)
Adult Participant Agrees
Sixth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Sixth Participant's Date of Birth*
Sixth Participant's Waiver
By agreeing, participant consent(s) to the Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement for ANY AND ALL ACTIVITIES, INCLUDING BUT NOT LIMITED TO DANCE, TUMBLING, GYMNASTICS, AND/OR CHEER CLASSES AND/OR CAMPS, TAKEN, SPONSORED, AND/OR ASSOCIATED WITH METRO MOVEMENT. *
Parent/Legal guardian agrees (for minor)
Adult Participant Agrees
Seventh Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Seventh Participant's Date of Birth*
Seventh Participant's Waiver
By agreeing, participant consent(s) to the Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement for ANY AND ALL ACTIVITIES, INCLUDING BUT NOT LIMITED TO DANCE, TUMBLING, GYMNASTICS, AND/OR CHEER CLASSES AND/OR CAMPS, TAKEN, SPONSORED, AND/OR ASSOCIATED WITH METRO MOVEMENT. *
Parent/Legal guardian agrees (for minor)
Adult Participant Agrees
Eighth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Eighth Participant's Date of Birth*
Eighth Participant's Waiver
By agreeing, participant consent(s) to the Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement for ANY AND ALL ACTIVITIES, INCLUDING BUT NOT LIMITED TO DANCE, TUMBLING, GYMNASTICS, AND/OR CHEER CLASSES AND/OR CAMPS, TAKEN, SPONSORED, AND/OR ASSOCIATED WITH METRO MOVEMENT. *
Parent/Legal guardian agrees (for minor)
Adult Participant Agrees
Ninth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Ninth Participant's Date of Birth*
Ninth Participant's Waiver
By agreeing, participant consent(s) to the Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement for ANY AND ALL ACTIVITIES, INCLUDING BUT NOT LIMITED TO DANCE, TUMBLING, GYMNASTICS, AND/OR CHEER CLASSES AND/OR CAMPS, TAKEN, SPONSORED, AND/OR ASSOCIATED WITH METRO MOVEMENT. *
Parent/Legal guardian agrees (for minor)
Adult Participant Agrees
Tenth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Tenth Participant's Date of Birth*
Tenth Participant's Waiver
By agreeing, participant consent(s) to the Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement for ANY AND ALL ACTIVITIES, INCLUDING BUT NOT LIMITED TO DANCE, TUMBLING, GYMNASTICS, AND/OR CHEER CLASSES AND/OR CAMPS, TAKEN, SPONSORED, AND/OR ASSOCIATED WITH METRO MOVEMENT. *
Parent/Legal guardian agrees (for minor)
Adult Participant Agrees
Parent or Guardian's Email Address

Email*
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
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*
Parent or Guardian's Waiver
By agreeing, participant consent(s) to the Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement for ANY AND ALL ACTIVITIES, INCLUDING BUT NOT LIMITED TO DANCE, TUMBLING, GYMNASTICS, AND/OR CHEER CLASSES AND/OR CAMPS, TAKEN, SPONSORED, AND/OR ASSOCIATED WITH METRO MOVEMENT. *
Parent/Legal guardian agrees (for minor)
Adult Participant Agrees
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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