IMPORTANT READ, UNDERSTAND THE FOLLOWING BEFORE SIGNING
RISK OF INJURY WARNING
In consideration of your child’s participation in activities at Jersey Jets Gymnastics, Inc: I state that I understand the nature of this activity and that the student(s) are qualified, in good health, and in proper physical condition to participate in this activity. I also acknowledge that if current conditions change and become unsafe I will immediately discontinue the participation of my child in the activity. Jersey Jets Gymnastics, Inc. is warning that GYMNASTICS, TRAMPOLINE AND TUMBLING HAS A RISK OF PHYSICAL INJURY THAT CANNOT BE ELIMINATED. Included are minor injuries and more serious such as broken bones and dislocations. The risk also includes catastrophic injuries such as permanent paralysis or even death from landing or falling onto the back, neck or head. I further understand that there are other risks either not known to me, or unforeseeable at this time. I fully accept and assume all responsibility for injuries, loss, damages, and costs incurred as a result of participation in this activity.
As a participant or legally responsible person for the students(s) listed above, I recognize the serious risk in gymnastics, trampoline and tumbling. I assume all responsibility for the student(s) listed above and release Jersey Jets Gymnastics, Inc. and all employees from losses resulting from participation in activities sponsored by Jersey Jets Gymnastics, Inc. This also certifies that the students(s) are physically able to participate in vigorous physical activity and competitive sport.
All students must be picked up promptly at the end of class. If children are required to wait for your arrival they must not leave the building. Please plan to stay with young children during their class. If you do need to leave your child during their class make sure they know and that the desk has your cell phone number and are aware you will be gone. If you will be late for pick up of your child please make sure to call the gym so we can inform your child, and tell them they should wait in the lobby until you arrive. (856) 273-2822.
I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and public health authorities recommend practicing social distancing.
I further acknowledge that Jersey Jets Gymnastics, INC. has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19.
I further acknowledge that Jersey Jets Gymnastics, INC. can not guarantee that I or my child(ren) will not become infected with the Coronavirus/Covid-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, staff, clients and their families.
I voluntarily seek services provided by Jersey Jets Gymnastics, INC and acknowledge that I am increasing my and my child(ren)’s risk to exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread while entering the facility.
I attest that:
I or my child(ren) are not experiencing any symptoms of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell;
I or my child(ren) have not traveled internationally within the last 14 days;
I or my child(ren) have not traveled to a highly impacted area within the United States of America in the last 14 days (states are listed at covid19.nj.gov/travel);
I or my child(ren) do not believe I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19;
I or my child(ren) have not been diagnosed with Coronavirus/Covid-19 and not yet cleared as non contagious by state or local public health authorities; and
I or my child(ren) am following all CDC recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19.
I hereby release and agree to hold Jersey Jets Gymnastics, INC. harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of the facility, or that may otherwise arise in any way in connection with any services received from Jersey Jets Gymnastics, INC in accords to the Coronavirius/COVID-19 pandemic. I understand that this release discharges Jersey Jets Gymnastics, INC. from any liability or claim that I, my heirs, or any personal representatives may have against the facility with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from Jersey Jets Gymnastics, INC. This liability waiver and release extends to the facility together with all owners and employees.
Date: November 25, 2020