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Waiver, Release, Harmless, and Indemnification Agreement

In Motion Entertainment, LLC.

Rev.10.001

July 21, 2024

As consideration for being allowed to enter the play area and/or participate in any party and/or program at In Gymnastics the undersigned, on his or her behalf, and on the behalf of the participant(s) identified below, acknowledges, appreciates, understands and agrees to the following. 

  1. 1. I represent that I am the parent or legal guardian of the participant(s) named below or I have obtained permission from the parent/legal guardian of the participant(s) named below to execute this agreement on their behalf. 
  2. 2. I acknowledge and understand that there are risks associated with participation in In Motion Entertainment, LLC. activities and the use of the play area inflatable equipment including but not limited to: concussions, fractures, scrapes, cuts, bumps, paralysis, or death.
  3. I, for myself and the Participant(s) named, willingly assume the risks associated with participation and accept that there are also risks that may arise due to OTHER PARTICIPANTS which I also willingly assume.
  4. I agree for myself, the Participant(s) named, our heirs, assigns, representatives and next of kin agree to hold harmless and indemnify the independent owners of In Motion Gymnastics, In Motion Entertainment LLC. their predecessors, parents and affliates, officers, and employees from any and all injuries, liabilites, or damages from participation.
  5. I agree that the Participant(s) named and I shall comply with all stated and customary terms, posted safety signs, rules and verbal instructions as conditions for participation in any party and or activity/program with In Motion Gymnastics.
  6. I additonally agree to indemnify the independent owners of In Motion Gymnastics, In Motion Entertainment, LLC their predecessors, parents, subsidaties and affliates, officers, and employees for any defense cost or expense arising from participation.
  7. I am of physical ability to participate and am legally competent to understand and complete this agreement. I hereby execute this agreement without coercion

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle 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*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

First Name*

Last 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.


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*

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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