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Gymnastics Palace LLC

NOTICE TO THE MINOR CHILD’S NATURAL GUARDIAN OR PARENT

READ THIS FORM COMPLETELY AND CAREFULLY. YOU ARE AGREEING TO LET YOUR MINOR CHILD ENGAGE IN A POTENTIALLY DANGEROUS ACTIVITY. YOU ARE AGREEING THAT, EVEN IF GYMNASTICS PALACE LLC, INCLUDING BUT NOT LIMITED TO, ANY OF ITS PRINCIPALS, OWNERS, MANGERS, INDEPENDENT CONTRACTORS, AGENTS, EMPLOYEES, TRAINERS, AND VOLUNTEERS ( all of whom are referred to hereinafter as “Releasees”) USES REASONABLE CARE IN PROVIDING THIS ACTIVITY, THERE IS A CHANCE YOUR CHILD MAY BE SERIOUSLY INJURED OR KILLED BY PARTICIPATING IN THIS ACTIVITY BECAUSE THERE ARE CERTAIN DANGERS INHERENT IN THE ACTIVITY WHICH CANNOT BE AVOIDED OR ELIMINATED. BY SIGNING THIS FORM YOU ARE GIVING UP YOUR CHILD’S RIGHT AND YOUR RIGHT TO RECOVER FROM GYMNASTICS PALACE LLC, ITS PRINCIPALS, MANAGERS, OWNERS, INDEPENDENT CONTRACTORS, AGENTS, EMPLOYEES, TRAINERS, AND VOLUNTEERS IN A LAWSUIT FOR ANY PERSONAL INJURY, INCLUDING DEATH, TO YOUR CHILD OR ANY PROPERTY DAMAGES THAT RESULTS FROM THE RISKS THAT ARE A NATURAL PART OF THE ACTIVITY. YOU HAVE THE RIGHT TO REFUSE TO SIGN THIS FORM, AND GYMNASTICS PALACE LLC HAS THE RIGHT TO REFUSE TO LET YOUR CHILD PARTICIPATE IF YOU DO NOT SIGN THIS FORM.

The above named minor child participant desires to participate in the gymnastics, exercise and fitness programs of Gymnastics Palace ,which includes but is not limited to; lessons, instruction and/or training related to gymnastics, climbing, jumping, tumbling and other related activities. Participant may further desire to use the equipment and facilities located at 17051 Miramar Parkway, Miramar, FL 33027 and 14660 NW 60th Ave, Miami Lakes, FL 33014.


Acknowledgement of Health

I understand that the gymnastics, fitness and exercise programs of Gymnastics Palace LLC (hereinafter “Gymnastics Palace”) can be physically demanding, challenging, strenuous and rigorous, and the minor child participant may experience significant challenges to his/her physical capabilities.

I declare and represent that the minor child participant is physically and mentally sound and does not suffer from any condition, impairment, disease, infirmity, or other illness that would prevent the child’s participation in any challenging or rigorous gymnastic training exercise or fitness activity. I acknowledge that I have been informed of the need for a physician’s approval for the minor child’s participation in any exercise/fitness activity or program. I recognize it is my responsibility to obtain a physical examination by a physician prior to my child’s involvement in any exercise program, including the type of gymnastic training, fitness and exercise activities of Gymnastics Palace. I acknowledge that my child has had a physical examination and has received permission by a physician to participate in the gymnastics, exercise and fitness programs of Gymnastics Palace, or I have chosen not to obtain a physician’s permission prior to my child beginning gymnastic exercise and fitness programs and I acknowledge I am placing my child at risk by not obtaining such medical clearance. I also understand it is best to keep my minor child well hydrated while participating in gymnastics and physical fitness activities. I accept responsibility for making sure the minor child participant consumes adequate amounts of water to remain well hydrated.


ASSUMPTION OF RISK

I understand and acknowledge that gymnastics exercise and fitness programs of Gymnastics Palace, including the use of equipment, are potentially dangerous and hazardous activities and involve inherent risk of injury and/or death. I understand that the reaction of the lungs, heart and vascular system to gymnastics and related activities cannot always be predicted. I understand that by participating in the gymnastic and fitness activities of the Gymnastics Palace my child may be at risk of suffering abnormal medical conditions, injuries and death, including but not limited to: abnormal blood pressure or heart rate; injuries to spine, muscles, tendons, ligaments, joints and nerves; fractures, transient lightheadedness or fainting; dehydration, heat stroke , paralysis and death.

I acknowledge that my child is voluntarily participating in the gymnastics, exercise and fitness programs, and related activities of the Gymnastics Palace and usage of equipment with knowledge of the inherent risk of injury and/or death involved.

I further recognize that even if the Releasees exercise reasonable care, there is still a risk of injury or death to my child while participating in the various activities of Gymnastics Palace, because there are certain dangers inherent in these activities that cannot be avoided or eliminated.

I am aware that any of the above-mentioned inherent risks may result in serious injury or death to my child. As the natural guardian or parent, I voluntarily and willingly assume full responsibility for such risks of injury or death to my child which may result or arise from my child’s participation in the various activities of Gymnastics Palace.

As the natural guardian or parent, I voluntarily and willingly assume full responsibility for the inherent risks I am exposing my child to. I accept full responsibility for any injury or death of my child that may result or arise from my child’s participation in the activities of Gymnastics Palace. 


WAIVER AND RELEASE OF LIABILITY

In consideration of the fact that I and my child are willingly and voluntarily participating in the activities offered by Gymnastics Palace, I, the undersigned natural guardian or parent of the above identified minor child participant, hereby release, waive, and forever discharge Gymnastics Palace LLC and Caution Fitness Inc. and any of their principals, officers, owners , managers, directors, agents, employees, staff, trainers, volunteers, or independent contractors ( all of whom are referred to herein as “Releasees”), from any and all possible claims for property damage, personal injury or death sustained by the herein named minor child participant which arises out of, or is in any related to the dangers or inherent risk of the activities of Gymnastics Palace LLC. 


Indemnification

I, the undersigned natural guardian or parent of the above identified minor child participant, accepts full financial responsibility for any injury or death I, or my child, may cause to any other participant due to my, or my child’s, negligence. I further agree to indemnify and hold harmless Releasees from liability for the injury or death of any person(s) and damage to property that may result from my, or the minor participant’s negligent or intentional act while participating in any of the activities offered by Gymnastics Palace. In the event any of the above named Releasees incur attorney’s fees and costs to enforce this indemnification provision, I, as natural parent or guardian and on behalf the minor participant, agrees to reimburse the Releasees for such fees and costs.

I have read and fully understand the provisions set forth in this document including the paragraphs captioned “Assumption of Risk , Waiver and Release of Liability” and “Indemnification” I understand that by signing this document I am voluntarily waiving valuable legal rights, and confirming my intentions to waive and release the Releasees from any and all possible claims for property damage, personal injury or death sustained by the herein named minor child participant and which arises out of, or is in any related to the dangers or inherent risk of the activities of Gymnastics Palace LLC.

I further agree that all of the provisions of this document shall be binding upon me, my successors, representatives, heirs, executors, assigns, or transferees. If any portion of this document is held invalid or unenforceable by any competent court of law, I agree the remaining provisions of the document shall remain in full legal force and effect to the greatest extent permitted under Florida law.

Today's Date: September 26, 2024

 

The above named “participant” desires to participate in the exercise and fitness programs of Gymnastics Palace LLC (“Gymnastics Palace”), doing business at 17051 Miramar Parkway, Miramar, FL and 14660 NW 60th Ave, Miami Lakes, FL 33014.  At the locations referenced above Gymnastics Palace conduct Gymnastics, CrossFit and other fitness related training and instructions involving weightlifting, powerlifting, olympic lifting, trampoline, ninja, tumbling, plyometrics, calisthenics, running, swimming, rowing, biking, climbing, jumping, throwing, and other related activities. Participant may further desire to use the equipment and facilities located at 17051 Miramar Parkway, Miramar, FL 33027 and 14660 NW 60th Ave, Miami Lakes, FL 33014  and other private and public locations as designated by Gymnastics Palace.


 Covid 19- Assumption of Risk
 
The novel coronavirus, COVID-19, was declared a worldwide pandemic by the World Health Organization and is extremely contagious. Health authorities believe the virus is spread mainly from close proximity with other individuals infected and different types of  transmissions leading to respiratory infection . As a result, federal, state, and local governments and federal and state health agencies recommend various measures to reduce the risk of contracting the virus and spreading the disease, including social distancing, wearing masks, and personal hygiene. In addition, many authorities have provided guidelines or are prohibiting certain numbers of people from congregating together and have also provided guidelines, recommendations and other announcements regarding business operations, including fitness facilities.
Gymnastics Palace and Caution Fitness , will be complying with all governmental mandates, and will apply recommendations, guidelines  and best practices to make its fitness facilities as reasonably safe  in view of the circumstances. Gymnastics Palace and Caution Fitness have put in place preventative measures to reduce the spread of COVID-19; however, Gymnastics Palace  and Caution Fitness cannot guarantee, or represent in any way, that you or your child(ren) will not become infected with COVID-19. Further, attending or otherwise participating in any of the activities of Gymnastics Palace and Caution Fitness  could increase your risk and your child(ren)’s risk of contracting COVID-19.  It is also possible that COVID 19 can mutate, or other possible contagions, may pose a risk of serious illness, injury and death while participating in the activities and/or using the facilities of Gymnastics Palace and Caution Fitness.
By signing this agreement, I acknowledge the contagious nature of COVID-19, and other  possible contagions, and voluntarily assume the risk that I and my child(ren) may be exposed to or infected by COVID-19 or other possible contagions,  while participating in the activities of Gymnastics Palace and Caution Fitness and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand the risk of becoming exposed to or infected by COVID-19, or other possible contagions, may result from the actions, omissions, or negligence of  Gymnastics Palace and Caution Fitness owners, employees, trainers, volunteers, as well as, myself and other participants and their families. I voluntarily agree to assume all of the foregoing risks related to COVID-19 or other possible contagions and accept sole responsibility for any injury, illness, disability or death to myself or my child(ren). 


Covid 19- Waiver of Liability
                                                                                                                                              
WAIVER OF LIABILITY: In consideration for the opportunity to participate, attend or in any way be involved in the exercise and fitness programs of Gymnastics Palace and Caution Fitness, and any and all related activities, I, the undersigned, hereby release, waive, covenant not to sue, and forever discharge Gymnastics Palace LLC and Caution Fitness Inc, and any of their principals, officers, directors, agents, employees, staff, trainers,  judges , volunteers,  independent contractors, healthcare providers, massage therapist, emergency first responders, lifeguards, nutritionists, suppliers, food and nutritional supplement vendors,  licensors, and licensees ( all of whom are referred to as “Releasees”), from any and all liability of any nature whatsoever, regarding any claim, demand, causes of action or right of action, which arise out of, or is in any way related  to suffering an injury,  illness, disability, or death due to  the coronavirus (COVID -19), or other possible contagions, caused by any negligent or grossly negligent act or omission of the  Releasees.


                                                                                                                                                                                                                 

 
Indemnification: 

I, the undersigned participant, agree and accept full financial responsibility for any injury or death related to COIVID-19, or other possible contagion, I may cause to myself, or to any other individual due to my negligence or other wrongful act of omission or commission .   The undersigned Participant further agrees to indemnify and hold harmless Releasees from any liability for injury or death related to COIVID-19 or other possible contagion,  I may suffer that may result from any negligence or gross negligence of the Releasees while participating in the exercise and fitness programs of Gymnastics Palace and Caution Fitness.
 
Participant further agrees to indemnify and hold harmless Releasees from any liability for injury or death related to COIVID-19  or other possible contagion of any person that may result from my negligence while participating in the exercise and fitness programs of Gymnastics Palace and Caution Fitness.

Severability and Enforcement:

I further agree that all the terms of this document shall be binding upon me, the undersigned participant, my successors, legal representatives, heirs, executors, next of kin, administrators, or assigns. If any portion of this agreement is held invalid or unenforceable, I agree the remainder of this document shall remain enforceable. 
 
I further agree that this document entitled “COVID-19 Assumption of Risk &Waiver of Liability” is enforceable and shall apply to any and all claims for personal injury or death related to COIVID-19  or other possible contagion arising out of my participation in any and all exercise and fitness programs of Gymnastics Palace and Caution Fitness regardless of the duration of my membership or the type of membership I may have. 
 
In the event I do not have a membership with Gymnastics Palace and/or Caution Fitness, I agree this “ COVID-19 Assumption of Risk &Waiver of Liability” document is enforceable and shall apply to any and all claims for personal injury or death related to COIVID-19 or other possible contagion, arising out of my participation in any program or class that is made available on a temporary basis, such as “on ramp” training, trial class or other orientation program and/or athletes dropping in to use the facility on a temporary basis.
 
I further agree that this “COVID 19 Assumption of Risk &Waiver of Liability” document is enforceable and shall apply to any and all claims for personal injury or death related to COIVID-19 or other possible contagion,  arising out of my participation in any exercise and fitness program of Gymnastics Palace and Caution Fitness regardless of the location of the incident giving rise to any such claims, including but not limited to; Gymnastics Palace  at 17051 Miramar Parkway, Miramar, FL 33027, 14660 NW 60th Ave, Miami Lakes, FL 33014 or other private and public locations as designated by Gymnastics Palace. 
 
    I have read and fully understand all of the provisions set forth in the above paragraphs. I understand that by signing this document I am voluntarily waiving valuable legal rights and confirming my intentions to waive and release the Releasees from any and all possible claims for personal injury or death related to COVID 19 or other possible contagion.
 

 

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Information
Photo/Video Release: I, the undersigned natural parent or guardian of the above identified minor child, hereby grants Gymnastics Palace LLC, permission to use my child's photograph/video image in any and all publications for Gymnastics Palace LLC including web site entries, without payment or any other consideration in perpetuity. I further hereby authorize Gymnastics Palace LLC to edit, alter, copy, exhibit, publish or distribute all photos and images. I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my child's photo or video appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my child's photograph or video images.
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
Photo/Video Release: I, the undersigned natural parent or guardian of the above identified minor child, hereby grants Gymnastics Palace LLC, permission to use my child's photograph/video image in any and all publications for Gymnastics Palace LLC including web site entries, without payment or any other consideration in perpetuity. I further hereby authorize Gymnastics Palace LLC to edit, alter, copy, exhibit, publish or distribute all photos and images. I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my child's photo or video appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my child's photograph or video images.
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
Photo/Video Release: I, the undersigned natural parent or guardian of the above identified minor child, hereby grants Gymnastics Palace LLC, permission to use my child's photograph/video image in any and all publications for Gymnastics Palace LLC including web site entries, without payment or any other consideration in perpetuity. I further hereby authorize Gymnastics Palace LLC to edit, alter, copy, exhibit, publish or distribute all photos and images. I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my child's photo or video appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my child's photograph or video images.
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
Photo/Video Release: I, the undersigned natural parent or guardian of the above identified minor child, hereby grants Gymnastics Palace LLC, permission to use my child's photograph/video image in any and all publications for Gymnastics Palace LLC including web site entries, without payment or any other consideration in perpetuity. I further hereby authorize Gymnastics Palace LLC to edit, alter, copy, exhibit, publish or distribute all photos and images. I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my child's photo or video appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my child's photograph or video images.
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
Photo/Video Release: I, the undersigned natural parent or guardian of the above identified minor child, hereby grants Gymnastics Palace LLC, permission to use my child's photograph/video image in any and all publications for Gymnastics Palace LLC including web site entries, without payment or any other consideration in perpetuity. I further hereby authorize Gymnastics Palace LLC to edit, alter, copy, exhibit, publish or distribute all photos and images. I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my child's photo or video appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my child's photograph or video images.
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
Photo/Video Release: I, the undersigned natural parent or guardian of the above identified minor child, hereby grants Gymnastics Palace LLC, permission to use my child's photograph/video image in any and all publications for Gymnastics Palace LLC including web site entries, without payment or any other consideration in perpetuity. I further hereby authorize Gymnastics Palace LLC to edit, alter, copy, exhibit, publish or distribute all photos and images. I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my child's photo or video appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my child's photograph or video images.
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
Photo/Video Release: I, the undersigned natural parent or guardian of the above identified minor child, hereby grants Gymnastics Palace LLC, permission to use my child's photograph/video image in any and all publications for Gymnastics Palace LLC including web site entries, without payment or any other consideration in perpetuity. I further hereby authorize Gymnastics Palace LLC to edit, alter, copy, exhibit, publish or distribute all photos and images. I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my child's photo or video appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my child's photograph or video images.
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
Photo/Video Release: I, the undersigned natural parent or guardian of the above identified minor child, hereby grants Gymnastics Palace LLC, permission to use my child's photograph/video image in any and all publications for Gymnastics Palace LLC including web site entries, without payment or any other consideration in perpetuity. I further hereby authorize Gymnastics Palace LLC to edit, alter, copy, exhibit, publish or distribute all photos and images. I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my child's photo or video appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my child's photograph or video images.
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
Photo/Video Release: I, the undersigned natural parent or guardian of the above identified minor child, hereby grants Gymnastics Palace LLC, permission to use my child's photograph/video image in any and all publications for Gymnastics Palace LLC including web site entries, without payment or any other consideration in perpetuity. I further hereby authorize Gymnastics Palace LLC to edit, alter, copy, exhibit, publish or distribute all photos and images. I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my child's photo or video appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my child's photograph or video images.
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
Photo/Video Release: I, the undersigned natural parent or guardian of the above identified minor child, hereby grants Gymnastics Palace LLC, permission to use my child's photograph/video image in any and all publications for Gymnastics Palace LLC including web site entries, without payment or any other consideration in perpetuity. I further hereby authorize Gymnastics Palace LLC to edit, alter, copy, exhibit, publish or distribute all photos and images. I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my child's photo or video appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my child's photograph or video images.
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*

Last Name*

Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information
Photo/Video Release: I, the undersigned natural parent or guardian of the above identified minor child, hereby grants Gymnastics Palace LLC, permission to use my child's photograph/video image in any and all publications for Gymnastics Palace LLC including web site entries, without payment or any other consideration in perpetuity. I further hereby authorize Gymnastics Palace LLC to edit, alter, copy, exhibit, publish or distribute all photos and images. I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my child's photo or video appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my child's photograph or video images.
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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