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Cherry Valley Investments Inc./CLT Management Inc.
DBA Gigueres
Waiver

Birthday Parties, Field Trips, Open Gyms

Cherry Valley Investments Inc./CLT Management Inc. encompasses Gigueres, Gigueres Dance, and Gigueres Trampoline. For this waiver, the use of the word Gigueres will represent all businesses under CLT Management Inc.

COVID-19 WAIVER 

I understand and agree that:

I will drop dp pick-up/drop-off only at the designated gym door.

Both me and my child(ren) will have a cell phone to communicate with each other when I arrive to pick him/her up. If cell phone texting is not available, a coach will accompany remaining gymnasts out to meet their parents with 6’ distancing.

Only one parent or non-participating individual will be allowed to enter the building at the main entrance if necessary.

I am required to wear a mask when entering Gigueres, per State order.

I am aware that my child may be required to wear a mask where physical distancing is not possible, but not while exercising.

I am aware that Gigueres is trying to minimize the amount of people within the building, therefore I will be able to watch my child’s practice/class through streaming it on video.

There will be no hands-on spotting for the foreseeable future unless there is a safety issue at Gigueres.

I will support the social distancing standard of 6’ to 10’ while at the gym .

Practice start and end times will be staggered to insure time for the children to get in and out of the gym safely, to provide time to wipe down the equipment between each practice and for teachers to thoroughly wash their hands.

My child (ren) will have regular opportunities to use the hand sanitizing stations available in all areas of the facility.

Upon entering the building, I agree that my child may be required to use hand sanitizer or wash their hands. 

I am aware that I may be asked screening questions upon my child’s arrival and my child’s temperature may be taken. 

I am aware that no outside shoes are allowed in the training areas of the building.

My child (ren) will bring his/her clearly marked bag to the gym each day with all recommended items included.

I will have my child (ren) wash hands and feet thoroughly upon arriving back home and her bag will be cleaned upon arriving home and again before she brings it back into the gym.

I agree to keep my child (ren)  home if she/he or anyone in my family is coughing, has a temperature over 100, or other Covid-19 symptoms.

I understand and agree that these procedures will change and evolve over time and that I will follow any new standards required by the local Board of Heath, the Commonwealth of Massachusetts and/or Gigueres. I understand that the coaches and everyone at the gym will make a strong effort to maintain social distancing but that there will be times when incidental contact and less than prescribed physical distancing will occur. I am aware and agree that spotting is an essential part of training my child (ren) in order to keep him/her safe and to prevent injury. I will allow my child to be spotted when spotting is necessary. I further understand that I am voluntarily allowing my child to participate in programs and activities offered by Gigueres, knowing that it is impossible to keep him/her, myself or anyone else who enters the gym completely safe from exposure to any infectious disease. My signature is my understanding of, and acceptance of the risks.

I Agree

 

Cherry Valley Investments Inc./CLT Management, Inc. dba Gigueres Acknowledgment and Assumption of Risk:

I request for myself, and/or any of my children to participate in gymnastics, day care or nursery school, dance, trampolining, kung fu or any other activity at Gigueres and to receive instruction in such subjects from Gigueres' staff and associates.  I understand that such participation and instruction require the performance of physical exercises by my myself and/or my child which necessarily involves the risk of personal injury, including severe paralysis or even death to myself and/or my child. Neither my child nor myself are under compulsion by Gigueres, its officers, teachers, employees and associates to participate in this program nor am I being paid to do so.  My interest and/or my child's interest is solely in the activities at Gigueres and his/her self-improvement and I willingly accept the risk inherent in this pursuit.  In consideration for allowing myself and/or my child to use these facilities, I hereby forever release Gigueres, its officers, employees, teachers and associates from all liability for any and all damages and injuries suffered by myself and/or my child in connection with said use of these facilities.  This acknowledgment of risk and waiver, having been read thoroughly and understood completely is signed voluntarily as to its content and intent. 

I represent and warrant that if I am purchasing something or paying for a service from this facility or from other merchants through this facility that (i) any credit card or bank account draft (ACH Draft) information I supply is true and complete, (ii) charges incurred by me will be honored by my credit card company or financial institution, and (iii) I will pay the charges incurred by me at the posted prices, including any applicable taxes, fees, and penalties. 

I hereby authorize (if online payment is made or autopay information is provided) this facility to charge my ACH draft, or credit card account. I understand that a 30 day written notice is required to terminate billing and I am responsible for payment whether or not my student attends classes until I notify this facility in writing to drop my student from class(es). 

Should I dispute a charge through my financial institution this will constitute a breach of contract possibly resulting in, but not limited to, penalties, additional fees, collection, legal action, and/or termination of any and/or all current and future services. 

I Agree

 

 

Date: September 30, 2020

First Participant's Name

First Name*

Last Name*
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*
Parent or Guardian's 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*
Photo Release
I am aware that individual and group publicity photos and videos are taken from time to time and in consideration for me or my child(ren) participation, I hereby grant my permission for my child(ren) likeness to be used in Gigueres publicity or advertising.
What are you participating in?
Play/Open Gym
Birthday Party
Field Trip or Other Event
Parent(s) or 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*
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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