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Swift Movement Liability Waiver

1. I understand that the sports of Parkour, Freerunning, Breakdancing, Tricking, Ninja Warrior, Martial Arts, Acro Yoga, Tumbling, and other recreational activities, including practices, performances, and special events(collectively referred to as “the sport”), can be dangerous and involve the risks of injury and death. I understand that these risks include, but are not limited to, loss of control, use of training facilities, exercise programs, areas designated as “hotspots”, and any information construed as advice. Despite the risks involved in the sport and in consideration of being allowed to participate in the sport, I AGREE TO EXPRESSLY ASSUME ALL RISKSOF INJURYOR DEATH that might be associated with the sport and the use of the facilities of Swift Movement, including, but not limited to, the use of equipment, and participation in instruction, special events, and participating in the sport beyond the supervised area (collectively referred to as “use of the facilities”).

2. Furthermore, to the fullest extent allowed by law, I agree never to sue and to release from liability Swift Movement, Matthew Peveley, Seth Rujiraviriyapinyo, and their owners, employees, agents, contractors, landowners, sponsors, and affiliated companies (collectively referred to as “Swift”) for any damage, injury, or death to me arising from participation in the sport or use ofthe facilities, regardless of cause, including the NEGLIGENCE of Swift Movement. 3. I certify that I am in good health and have no physical condition that would prevent me from participating safely

3. 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)

4. I understand this is a release of liability that is valid FOREVER. I understand that this Release of Liability will prevent me or my heirs from filing suit or making any claim for damagesin the event of injury or death to me arising out of participation in the sport or use ofthe facilities. Additionally, in the event I, my heirs, the user, my legal representative, or any other person acting on my behalf files a lawsuit arising out of my participation in the sport or use of the facilities, I agree to defend, indemnify, and hold harmless Swift Movement for any damages, attorneys’ fees, or costs associated with or arising out of such a lawsuit.

5. With a complete and full understanding ofthisrelease of liability and express assumption ofrisk agreement, I nevertheless enterinto this agreement freely and voluntarily and agree that it is binding upon me, my heirs, assigns, legalrepresentatives, and any other person acting on my behalf. I also agree to indemnify Swift Movement for any and all claims brought by a third party which arise from the participant’s or my participation in the sport.

6. Media Release: I grant exclusive permission to Swift Movement to use my name, likeness, and photograph for the purpose of publicity, public relations, editorial, or other advertising purposes without restriction as to frequency or duration.


First Participant's Name

First Name*

Last Name*

Phone*
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*
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*
Check to receive information, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Tell us more!
How did you hear about Swift?

If Other. Please specify below

Which program(s) are you interested in? *
Parkour/Freerunning
Swift Fitness (Group Fitness Classes)
Acro Yoga
Tumbling
Aerial Arts
Nerf Wars, Games, Entertainment Events
Private Event (Birthday Party, Company Outing, Bar mitzvah, etc)
Private Lessons
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

First 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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