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PARTICIPANT WAIVER

RELEASE OF LIABILITY, WAIVER OF CLAIMS, 

ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT

(hereinafter referred to as the “Release Agreement”)

BY SIGNING THIS DOCUMENT YOU WILL WAIVE OR GIVE UP CERTAIN LEGAL RIGHTS,
INCLUDING THE RIGHT TO SUE OR CLAIM COMPENSATION FOLLOWING AN ACCIDENT 

PLEASE READ CAREFULLY!

This Release Agreement shall apply to all membership renewals.

TO:     KYLE SHEWFELT GYMNASTICS INC. (the “Gymnastics Club”) and its directors, officers, employees, instructors, agents, representatives, volunteers, independent contractors, subcontractors, sponsors, successors, lessors and assigns (hereinafter collectively referred to as the “Releasees”).

The Gymnastics Club’s Programs are defined and include all multiple gymnastics related activities, including, but not limited to, the following:

  • Recreational/General Gymnastics;
  • Women’s and Men’s Artistic;
  • Rhythmic;
  • Trampoline and Tumbling;
  • Acrobatics;
  • Birthday Parties;
  • Drop-in Sessions;
  • Urban Gymnastics (Parkour);
  • General acrobatics and fitness;
  • Seasonal and Specialty Camps;
  • Special events; and
  • Similar activities

(Hereinafter collectively referred to as the “ACTIVITIES”).

DESCRIPTION OF RISKS:

I am aware that the ACTIVITIES involve inherent risks, dangers and hazards, both known and unknown, that are associated with unique movement patterns and skills, which may, in some circumstances be executed on specialized apparatus. I understand that similar risks are also inherent in using equipment associated with the ACTIVITIES, and any other devices, apparatus or attractions present at the facility. I understand this includes risk of negligence on the part of the Releasees, including the failure on the part of same to take reasonable steps to safeguard or protect the participants from the risks, dangers and hazards, both known and unknown, of participating in the ACTIVITIES. I acknowledge that personal harm or injury may be sustained during my/my child’s involvement in the ACTIVITIES, including, but not limited to, broken bones, head / neck injuries, concussion, dislocations, tendon and ligament damage (including sprains), damage to teeth and dental work, internal injuries, bruises, strains, lacerations, spinal injuries (that could result in various degrees of paralysis), brain injury and death. I acknowledge and assume the potential risks and consent to my/my child’s participation in the ACTIVITIES.

CONSENT TO PARTICIPATION:

  • I/my child have/has been informed that I/he/she is to abide by the rules and regulations including directions and instructions from the administrators, instructors, coaches, and supervisors as imposed on me/my child while participating in the ACTIVITIES.
  • In the event that I/my child fails to abide by the rules and regulations imposed on me/my child while participating in the ACTIVITIES, disciplinary action may either require that I/he/she not participate in the ACTIVITIES, or that I will leave/be contacted to have my child picked up or transported home at my own expense.
  • I acknowledge that I/my child am/is in good health, and in proper physical condition to participate in the ACTIVITIES, and I acknowledge it is my responsibility to notify the staff of any physical or mental concerns for me/my child which may affect my/my child’s participation in the ACTIVITIES.
  • I acknowledge that the ACTIVITIES may require an instructor, coach, employee or supervisor to perform some manual spotting which involves direct physical contact with me/my child and designed to assist the participant in the safe performance of the program skills, and I consent to same.

RELEASE OF LIABILITY AND WAIVER OF CLAIMS:

I confirm that I have read the above description of risks and understand the risks involved in participating in the Gymnastics Club’s programs and ACTIVITIES. I confirm that I voluntarily and freely accept all such risks and choose to participate/allow my child to participate in the Gymnastics Club’s programs and ACTIVITIES. I accept full responsibility for my own/my child’s actions.

In consideration of being allowed to participate in the Gymnastics Club’s programs and ACTIVITIES, I hereby agree as follows:

TO WAIVE ANY AND ALL CLAIMS that I/my child have or may in the future have against THE RELEASEES, and TO RELEASE THE RELEASEES from any and all liability for any loss, damage, expense or injury including death that I/my child may suffer, or that my next of kin or my child’s next of kin may suffer, as a result of my use/my child’s use of or my/my child’s presence on the Gymnastics Club’s premises DUE TO ANY CAUSE WHATSOEVER, INCLUDING NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE, INCLUDING ANY DUTY OF CARE OWED UNDER THE OCCUPIERS LIABILITY ACT, R.S.A. 2000, c. o-4 ON THE PART OF THE RELEASEES. I UNDERSTAND THAT NEGLIGENCE INCLUDES THE FAILURE ON PART OF THE RELEASEES TO TAKE REASONABLE STEPS TO SAFEGUARD OR PROTECT ME/MY CHILD FROM THE RISKS, DANGERS AND HAZARDS REFERRED TO ABOVE.

I further agree to the terms and conditions set under in Schedule “A” to this Release Agreement.

AUTHORIZATION OF FIRST AID IN CASE OF EMERGENCY AND INDEMNIFICATION OF COSTS:

I hereby authorize basic first aid to be delivered to me/my child by the Gymnastics Club’s staff or other authorities. By administering first aid when required or requested, the Gymnastics Club in no way warrants or assumes any liability in relation to the administration of such basic first aid.

I further understand and agree that, in the case of an emergency, the Gymnastics Club assumes no responsibility or obligation relative to any cost or expense related to carrying out an emergency procedure and/or emergency transportation for me/my child and I agree to pay for such costs and expenses and shall indemnify and reimburse the Gymnastics Club for any such costs or expenses that it incurs. I confirm and agree that this agreement shall be governed by the laws of the Province of Alberta. Any litigation involving the parties to this Release Agreement shall be brought solely within the Province of Alberta, and shall be within the exclusive jurisdiction of the Courts of the Province of Alberta. I confirm and agree that if any portion of this agreement is found to be void and unenforceable, the balance, notwithstanding, shall continue in full force and effect.

I CONFIRM THAT I HAVE READ AND UNDERSTAND THIS LEGAL AGREEMENT, I AGREE TO BE BOUND BY ITS TERMS, AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS AGAINST THIS GYMNASTICS CLUB INCLUDING THE RIGHT TO SUE OR CLAIM COMPENSATION FOLLOWING AN ACCIDENT.

Signed this day of July 16, 2019.

Signature of Parent/Guardian or Participant (if over 18):

 

 

SCHEDULE “A” TO RELEASE AGREEMENT

TRAMPOLINE WAIVER

TRAMPOLINE RELEASE OF LIABILITY, WAIVER OF CLAIMS,

ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT

(hereinafter referred to as the “Trampoline Release Agreement”)

BY SIGNING THIS DOCUMENT YOU WILL WAIVE OR GIVE UP CERTAIN LEGAL RIGHTS,
INCLUDING THE RIGHT TO SUE OR CLAIM COMPENSATION FOLLOWING AN ACCIDENT

PLEASE READ CAREFULLY!

This Trampoline Release Agreement shall apply to all subsequent membership renewals.

TO: The “Releasees”.
FROM: The Releasors

DESCRIPTION OF RISKS:

I am aware that, in addition to the inherent risks associated with the sport of gymnastics as are described in the Release Agreement to which I am a party along with the Releasees, there are additional inherent risks associated with the use of a trampoline.  In particular, I understand that the use of a trampoline greatly increases the risk of serious personal injury that I /my child are exposed to as a result of my/my child’s presence at and my/my child’s use of gymnastics equipment on the Gymnastics Club’s premises and facilities.  I understand this includes risk of negligence on the part of the Releasees, including the failure on the part of same to take reasonable steps to safeguard or protect the participants from the risks, dangers and hazards, both known and unknown, of participating in the SPORT OF TRAMPOLINE. I acknowledge that personal harm or injury may be sustained during my/my child’s involvement in the SPORT OF TRAMPOLINE, including, but not limited to, broken bones, head / neck injuries, concussion, dislocations, tendon and ligament damage (including sprains), damage to teeth and dental work, internal injuries, bruises, strains, lacerations, spinal injuries (that could result in various degrees of paralysis), brain injury and death. I acknowledge and assume the potential risks and consent to my/my child’s participation in the SPORT OF TRAMPOLINE.

CONSENT TO PARTICIPATION:

  • I/my child have/has been informed that I/he/she is to abide by the rules and regulations including directions and instructions from the administrators, instructors, coaches, and supervisors as imposed on me/my child while participating in the SPORT OF TRAMPOLINE.
  • I/my child confirm that I/my child have read the Trampoline Safety Rules posted on the website and around the Gymnastics Club’s facilities.
  • In the event that I/my child fails to abide by the rules and regulations imposed on me/my child while participating in the SPORT OF TRAMPOLINE, disciplinary action may either require that I/he/she not participate in the SPORT OF TRAMPOLINE, or that I will leave/be contacted to have my child picked up or transported home at my own expense.
  • I acknowledge that I/my child am/is in good health, and in proper physical condition to participate in the SPORT OF TRAMPOLINE, and I acknowledge it is my responsibility to notify the staff of any physical or mental concerns for me/my child which may affect my/my child’s participation in the SPORT OF TRAMPOLINE.
  • acknowledge that the SPORT OF TRAMPOLINE may require an instructor, coach, employee or supervisor to perform some manual spotting which involves direct physical contact with me/my child and designed to assist the participant in the safe performance of the program skills, and I consent to same.

RELEASE OF LIABILITY AND WAIVER OF CLAIMS:

I confirm that I have read the above description of risks and understand the risks involved in participating in the Gymnastics Club’s programs and the SPORT OF TRAMPOLINE. I confirm that I voluntarily and freely accept all such risks and choose to participate/allow my child to participate in the Gymnastics Club’s program and the SPORT OF TRAMPOLINE. I accept full responsibility for my own/my child’s actions.

In consideration of being allowed to participate in the Gymnastics Club’s programs and SPORT OF TRAMPOLINE, I hereby agree as follows:

TO WAIVE ANY AND ALL CLAIMS that I/my child have or may in the future have against THE RELEASEES, and TO RELEASE THE RELEASEES from any and all liability for any loss, damage, expense or injury including death that I/my child may suffer, or that my next of kin or my child’s next of kin may suffer, as a result of my use/my child’s use of or my/my child’s participation in the SPORT OF TRAMPOLINE DUE TO ANY CAUSE WHATSOEVER, INCLUDING NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE, INCLUDING ANY DUTY OF CARE OWED UNDER THE OCCUPIERS LIABILITY ACT, R.S.A. 2000, c. o-4 ON THE PART OF THE RELEASEES. I UNDERSTAND THAT NEGLIGENCE INCLUDES THE FAILURE ON PART OF THE RELEASEES TO TAKE REASONABLE STEPS TO SAFEGUARD OR PROTECT ME/MY CHILD FROM THE RISKS, DANGERS AND HAZARDS REFERRED TO ABOVE.

I CONFIRM THAT I HAVE READ AND UNDERSTAND THIS LEGAL AGREEMENT, I AGREE TO BE BOUND BY ITS TERMS, AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS AGAINST THIS GYMNASTICS CLUB INCLUDING THE RIGHT TO SUE OR CLAIM COMPENSATION FOLLOWING AN ACCIDENT.

Signed this day of July 16, 2019.

Signature of Parent/Guardian or Participant (if over 18):

 

 

Personal Information Protection Act (PIPA) and Email Communication Acceptance

As a parent/guardian or participant attending this gymnastics club, I give consent for the purposes of collecting information. Your contact information will be kept confidential and made available only to the staff of Kyle Shewfelt Gymnastics.

Photo/Video Release

By signing below, I AGREE to give permission to Kyle Shewfelt Gymnastics to take pictures or video of me/my child during my/their participation in any program, and that these may be used for advertising, club noticeboard, club website, and any social media platform. I am of the understanding that my child’s full name WILL NOT appear in relationship to any photographs or videos without additional written consent.

I also AGREE to give permission to Kyle Shewfelt Gymnastics to take pictures or video of me/my child during my/their participation in any program, and that these may be used for training purposes.

*Note: should you chose, you can withdraw your Photo/Video consent in written notice at any time. Please email info@ksgymnastics.com to withdraw. 

I Agree
 

Signed this day of July 16, 2019 at Calgary.

 

QUESTIONS, COMMENTS, CONCERNS or ADDITIONAL INFORMATION REQUIRED

If you have any questions, comments, concerns or require additional information regarding these waiver forms, please contact Kyle Shewfelt Gymnastics directly by phone: 587-349-2004, email: info@ksgymnastics.com or in person at our facilily: 104 - 3442 118 Avenue SE, Calgary, Alberta.

DO NOT sign this waiver if you have additional questions.   

By signing, I acknowledge that I have no further questions at this time and that it has been made clear to me that I can ask questions at any time. 

 

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*

Confirm Email*
By checking this box, I provide my consent to receive information, news and updates from Kyle Shewfelt Gymnastics via email. I understand that I will have the option to unsubscribe at any time. 
Emergency Contact

Emergency Contact's 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.
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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