Gold Medal Conditioning

Waiver and Release

In exchange for participation in the activity of in home conditioning and in home training organized by Gold Medal Tumbling & Conditioning LLC, and/or use of the property, and services of Gold Medal Conditioning & Tumbling LLC I agree for myself and (if applicable) for the members of my family, to the following:

1. AGREEMENT TO FOLLOW DIRECTIONS. I agree to observe and obey all rules and warnings, and further agree to follow any oral instructions or directions given by Gold Medal Conditioning & Tumbling LLC, or the employees, representatives or agents of Gold Medal Conditioning & Tumbling LLC.

I Agree

2. ASSUMPTION OF THE RISKS AND RELEASE. I recognize that there are certain inherent risks associated with the above described activity and I assume full responsibility for personal injury to myself and (if applicable) my family members, and further release and discharge Gold Medal Conditioning & Tumbling LLC for injury, loss or damage arising out of my or my family's use of or presence upon the facilities of Gold Medal Conditioning & Tumbling LLC whether caused by the fault of myself, my family, Gold Medal Conditioning & Tumbling LLC other third parties.

I Agree

3. INDEMNIFICATION. I agree to indemnify and defend Gold Medal Conditioning & Tumbling LLC against all claims, causes of action, damages, judgments, costs or expenses, including attorney fees and other litigation costs, which may in any way arise from my or my family's use of or presence of Gold Medal Conditioning & Tumbling LLC.

I Agree

4. FEES. I agree to pay for all damages to the facilities of Gold Medal Conditioning & Tumbling LLC caused by any negligent, reckless, or willful actions by me or my family.

I Agree

5. CONSENT. I, consent to the participation of the activity of conditioning/tumbling, acro, or speed training , and agree on behalf of the above minor to all of the terms and conditions of this Agreement. By signing this Release of Liability, I represent that I have legal authority over and custody.

I Agree

6. MEDICAL AUTHORIZATION. In the event of an injury to the above minor during the above described activities, I give my permission to Gold Medal Conditioning & Tumbling LLC or to the employees, representatives or agents of Gold Medal Conditioning & Tumbling LLC to arrange for all necessary medical treatment for which I shall be financially responsible. This temporary authority will begin on the date this agreement is signed and will remain in effect until terminated in writing by the undersigned or when the above described activities are completed. Gold Medal Conditioning & Tumbling LLC shall have the following powers:

The power to seek appropriate medical treatment or attention on behalf of my child as may be required by the circumstances, including without limitation, that of a licensed medical physician and/or a hospital;

I Agree

7. APPLICABLE LAW. Any legal or equitable claim that may arise from participation in the above shall be resolved under Florida law.

I Agree

8. NO DURESS. I agree and acknowledge that I am under no pressure or duress to sign this Agreement and that I have been given a reasonable opportunity to review it before signing. I further agree and acknowledge that I am free to have my own legal counsel review this Agreement if I so desire. I further agree and acknowledge that Star Athletics LLC has offered to refund any fees I have paid to use its facilities if I choose not to sign this Agreement.

I Agree

I HAVE READ THIS DOCUMENT AND UNDERSTAND IT. I FURTHER UNDERSTAND THAT BY SIGNING THIS RELEASE, I VOLUNTARILY SURRENDER CERTAIN LEGAL RIGHTS.

I Agree

NOTICE TO THE MINOR CHILD'S NATURAL GUARDIAN

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 THE RELEASEE 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 THE RELEASEE IN A LAWSUIT FOR ANY PERSONAL INJURY, INCLUDING DEATH, TO YOUR CHILD OR ANY PROPERTY DAMAGE THAT RESULTS FROM THE RISKS THAT ARE A NATURAL PART OF THE ACTIVITY. YOU HAVE THE RIGHT TO REFUSE TO SIGN THIS FORM, AND THE RELEASEE HAS THE RIGHT TO REFUSE TO LET YOUR CHILD PARTICIPATE IF YOU DO NOT SIGN THIS FORM.

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Emergency Contact

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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.

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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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