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WAIVER AND RELEASE OF LIABILITY

Gold Medal Conditioning & Tumbling LLC & Carter Therapy LLC


Release and Acknowledgment:

I, the undersigned, acknowledge that I am voluntarily participating in training, classes, and activities at Gold Medal Conditioning & Tumbling LLC & Carter Therapy LLC.  I understand that my participation may involve physical activity, which could include the risk of injury. 


Assumption of Risk:

I understand that participation in conditioning, tumbling, and related activities carries inherent risks that could result in injury or death. I acknowledge that I am aware of these risks, and I voluntarily assume all such risks.

Release of Liability:

In consideration of my participation, I hereby release and hold harmless Gold Medal Conditioning & Tumbling, LLC & Carter Therapy LLC, its owners, coaches, staff, agents, volunteers, and affiliates from any and all claims, liabilities, or damages arising from my participation in the activities, even if caused by negligence or other misconduct.


Medical Clearance:

I attest that I have had the opportunity to consult a physician regarding any pre-existing medical conditions and my ability to participate in these activities. I confirm that I am in good health and capable of participating in the activities offered by Gold Medal Conditioning & Tumbling LLC & Carter Therapy LLC.


Use of Likeness:

I grant Gold Medal Conditioning & Tumbling LLC & Carter Therapy LLC the right to photograph, video, and record my image and voice during the activities and to use such media in promotional material, including on the website and social media channels, without compensation.


Governing Law:

This waiver shall be governed by and construed in accordance with the laws of the state of Florida in which Gold Medal Conditioning & Tumbling LLC & Carter Therapy LLC operates.


Acknowledgment of Understanding: 

I have read this waiver and release of liability and fully understand its contents. I am aware that this is a waiver and release of liability, and I am signing it of my own free will.




 

 

 


First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
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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*

Middle 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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