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Movement United

24501 Hallwood Ct,

Farmington Hills, MI 48335

Waiver Of Liability Part 1

This agreement releases Movement United from all liability relating to injuries that may 

occur during any Classes, Workshops, Special Events, Offsite Tumbling or Open Gym at Movement United, By signing this agreement, I agree to hold 

Movement United LLC entirely free from any liability, including financial responsibility for 

injuries incurred, regardless of whether injuries are caused by accident or by negligence.

 

I also acknowledge the risks involved in training/performing Parkour, Cheerleading, Tumbling, Circus Arts, Hoop Dance, Acro-Yoga, Yoga and 

any other Activities provided and practiced at Movement United. These include but are 

not limited to death, serious neck, and/or spinal cord injuries, resulting  in complete and/or  

partial paralysis, brain damage, and /or serious injury to virtually all bones,  

joints, muscles and internal organs. I agree that I am participating voluntarily, and 

that all risks have been made clear to me. Additionally, I agree that I do not have any conditions and/or illnesses that 

will increase my likelihood of experiencing injuries while engaging in this activity. 

Movement United Liability Waiver Part 2 and Media Policy

I, the undersigned, hereby voluntarily request to participate in parkour Indoor/Outdoor Classes with Movement United (hereinafter “Events”).

1. I am familiar with the concepts of parkour, tumbling, acro-yoga, yoga, hoop dance, aerial ailks, and other circus or movement disciplines/activities, and the physical demands involved of each, including running, balancing, climbing, jumping, vaulting, flipping, and other strenuous actions sometimes involving height, speed, and unpredictable surfaces. I understand that these activities are high-impact, full-body activities which requires intense focus, body awareness, awareness of the environment, and extreme caution at all times.

2. I understand that I am responsible for my safety so I must exercise good judgment at all times, including stopping immediately and notifying staff 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 Event(s).

3. I understand and acknowledge that participation in the Event(s) 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 Event(s) is conducted, and/or the physically strenuous nature of parkour. I, and/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 Event(s) site.

4. I certify that I am in good health and have no physical condition that would prevent participation in the Event(s) or put me at greater risk for injury. I agree that all activities undertaken at the Event(s) are conducted at my own risk. Furthermore, I agree to use my personal medical insurance as a primary medical coverage payment if 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 Event(s), I hereby voluntarily and willingly assume responsibility for all risks and dangers associated with my participation in the Event(s).

5. I hereby waive all claims or causes of action against Movement United, its administrators, directors, agents, officers, volunteers, and employees, other participants, any sponsors, advertisers, and if applicable, owners and lessors of the premises on which the Event(s) takes place (collectively and hereinafter “Releasees”). I agree and covenant to indemnify and hold harmless Releasees 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 Releasees 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 Releasees, I will indemnify, save and hold harmless each of the Releasees from any loss, liability, damage, litigation expense, attorney fees or costs they may incur as the result of such a claim.

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 SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE, OR GUARANTEE BEING MADE TO ME, AND INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.

MOVEMENT UNITED MEDIA POLICY

MU occasionally takes photos and video of classes and events for use in our newsletter, website, YouTube Channel, Facebook, and other social media. MU will NEVER identify any individuals by name when publishing promotional material. MU will ALWAYS seek explicit permission to include names of students, and for any project that would include selling or licensing any student’s likeness.

Agreeance

By signing below I agree to and understand everything I have read within this waiver, I forfeit all rights to bring a lawsuit against Movement United LLC for any 

reason. In return, I will receive coaching in one of the following areas and/or attend an open gym session. Parkour, Cheerleading, Tumbling, Hoop Dance, Aerial Silks, and/or Circus Coaching will be provided upon my agreeance to these terms, I will also 

make every effort to obey safety precautions as explained to me verbally. I will ask for clarification when needed and will follow all rules required for participation.

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*

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

First Name*

Middle Name

Last Name*

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

First Name*

Middle Name

Last Name*

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

First Name*

Middle Name

Last Name*

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

First Name*

Middle Name

Last Name*

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

First Name*

Middle Name

Last Name*

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

First Name*

Middle Name

Last Name*

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

First Name*

Middle Name

Last Name*

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

First Name*

Middle Name

Last Name*

Phone*
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 name Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
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 Name

First Name*

Middle Name

Last Name*

Relationship*

Phone*
Parent or Guardian's name Date of Birth*
Parent or Guardian's name 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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