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Participation Waiver for the Pacific Northwest Parkour Gathering

I, the undersigned (the “Participant”) hereby voluntarily request to participate in the Pacific Northwest Parkour Gathering (hereinafter “event”).

  1. I am familiar with the concept of Parkour and the physical demands involved, which include running, climbing, jumping, vaulting, and other strenuous actions sometimes involving height, speed, and unpredictable surfaces. I understand that Parkour is a high-impact, full-body activity which requires intense focus, awareness of my body’s strengths and limitations, awareness of the environment around me, and extreme caution at all times. I understand that I must exercise good judgment at all times in order to remain safe, including stopping immediately if I feel lightheaded, faint, weak, or in pain. If at any time I feel I cannot continue to participate safely for any reason, whether because of a physical condition, the actions of myself or others, or any other reason, I must immediately discontinue involvement and do not depend or rely on the direction of the event coordinator, affiliated or contracted parties to do so. As with any strenuous physical activity, I am aware that I must take any and all necessary precautions, including but not limited to seeking advice from my physician, prior to taking part in the Event.

  2. I understand and acknowledge that participation in the Event may involve risk of serious injury or death, including injuries which may result not only from my own actions, inactions, or negligence, but also from the actions, inactions, or negligence of others, the condition of the facilities, equipment, or areas where the Event is conducted, and/or the physically strenuous nature of Parkour. I or my Parent or Guardian, where applicable, warrant and promise that I assume full responsibility for my conduct and safety at all times, whether or not in actual participation and/or at the Event site.
     

  3. I certify that I am in good health and have no physical condition that would prevent participation in the Event or put me at greater risk for injury. I agree that all activities undertaken at the Event are conducted at my own risk. Furthermore, I agree to use my personal medical insurance as primary medical coverage payment, if accident or injury occurs, without seeking any recoveries from Releases or Releases insurers. I consent to emergency medical treatment in the event such care is required. Knowing and understanding the risks involved with participation in the Event, I hereby voluntarily and willingly assume responsibility for all risks and dangers associated with my participation in the Event.
     

  4. In consideration of my participation in the activity, I hereby waive all claims or causes of action against The Pacific Northwest Parkour Association DBA Parkour Visions, its administrators, directors, agents, officers, volunteers, and employees, other participants, sponsors, advertisers, and if applicable, owners and lessors of the premises on which the Event takes place (collectively and hereinafter "Releasees"). I agree and covenant to indemnify and hold harmless Releasees from all liability, claims, demands, losses, or damages on my account, whether caused or alleged to be caused in whole or in part by the negligence of the Releasees or otherwise, and agree that if, despite this release, waiver of liability, and assumptions of risk I, or anyone on my behalf, makes a claim against any of the Releasees, I will indemnify, save and hold harmless each of the Releasees from any loss, liability, damage, litigation expense, attorney fees or costs they may incur as the result of such a claim.
     

  5. OPTIONAL - Media Release
    a. I hereby authorize The Pacific Northwest Parkour Association to photograph, take video footage, and/or make electronic sound recordings of the participant in accordance with all applicable laws. I authorize the use of any such photographic or electronic reproductions of the participant for any purpose including, but not limited to educational, marketing, and other public media as may be deemed appropriate by Parkour Visions, and I understand that the participant may be identifiable from such photographic or electronic reproduction

I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND HOLD HARMLESS AGREEMENT. I FULLY UNDERSTAND ITS TERMS, AND I UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE, OR GUARANTEE BEING MADE TO ME, AND INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY THE LAW.

April 23, 2024

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
What is the gender of the person who the waiver is for? Check all that apply. *
Male
Female
Trans
Genderfluid
Genderqueer
Nonbinary
Intersex
Other
Prefer not to answer
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
What is the gender of the person who the waiver is for? Check all that apply. *
Male
Female
Trans
Genderfluid
Genderqueer
Nonbinary
Intersex
Other
Prefer not to answer
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
What is the gender of the person who the waiver is for? Check all that apply. *
Male
Female
Trans
Genderfluid
Genderqueer
Nonbinary
Intersex
Other
Prefer not to answer
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
What is the gender of the person who the waiver is for? Check all that apply. *
Male
Female
Trans
Genderfluid
Genderqueer
Nonbinary
Intersex
Other
Prefer not to answer
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
What is the gender of the person who the waiver is for? Check all that apply. *
Male
Female
Trans
Genderfluid
Genderqueer
Nonbinary
Intersex
Other
Prefer not to answer
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
What is the gender of the person who the waiver is for? Check all that apply. *
Male
Female
Trans
Genderfluid
Genderqueer
Nonbinary
Intersex
Other
Prefer not to answer
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
What is the gender of the person who the waiver is for? Check all that apply. *
Male
Female
Trans
Genderfluid
Genderqueer
Nonbinary
Intersex
Other
Prefer not to answer
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
What is the gender of the person who the waiver is for? Check all that apply. *
Male
Female
Trans
Genderfluid
Genderqueer
Nonbinary
Intersex
Other
Prefer not to answer
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
What is the gender of the person who the waiver is for? Check all that apply. *
Male
Female
Trans
Genderfluid
Genderqueer
Nonbinary
Intersex
Other
Prefer not to answer
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
What is the gender of the person who the waiver is for? Check all that apply. *
Male
Female
Trans
Genderfluid
Genderqueer
Nonbinary
Intersex
Other
Prefer not to answer
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*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
What is the gender of the person who the waiver is for? Check all that apply. *
Male
Female
Trans
Genderfluid
Genderqueer
Nonbinary
Intersex
Other
Prefer not to answer
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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