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Youth Accident Waiver, Release of Liability, Indemnity and Media Release

In consideration of being permitted to participate in any classes, training, events and/or activities being offered by, through or in conjunction with Ninja Playground, LLC, a Wyoming limited liability company (“Ninja Playground”), I, on behalf of my child, hereby recognize, appreciate and acknowledge that: (i) ninja warrior training, martial arts training, calisthenics, tricking, strength training, plyometrics, competitions, events and other activities related to the foregoing involves activities that are physically, mentally and emotionally demanding and may be violent; (ii) my child’s participation in such activities may result in serious bodily injury, including permanent disability, paralysis or death; (iii) such injuries may not be due to my child’s actions, but may arise from the action, inaction or negligence of others, the rules governing participation, the conditions of the premises or the equipment used; (iv) in addition to bodily injuries or death, participation in the activities offered by Ninja Playground, there is a risk of economic and/or social damages arising from such bodily injuries; and (v) that there may be other risks that are not known to me, my child or to others that are not reasonably foreseeable at this time.

     Now, therefore, in consideration of the above, I, for myself, my child and for our respective successors, heirs and assigns, hereby:

  1. Voluntarily and knowingly assume all of the risks of participating in the classes, training, events and activities offered by Ninja Playground;
  2. Knowingly and voluntarily waive, release and forever discharge Ninja Playground and its officers, directors, employees, members, shareholders, partners, affiliates, agents, successors and assigns (collectively, “Ninja Playground Affiliates”) from any and all liabilities, manner of action, causes of action, suits, debts, obligations, sums of money, covenants, contracts, agreements, promises, damages, costs, expenses, claims and demands whatsoever, whether based on a tort, contract, statutory or other theory of recovery and whether for compensatory, punitive, statutory or other forms of damage or relief, and whether derivative or direct, legal or equitable, known or unknown, which I, my child or our respective heirs, successors or assigns, ever had or now has or hereafter can, shall or may have for, upon or by reason of any matter, cause or thing whatsoever and in all capacities whatsoever, including, without limitation, any of the foregoing relating to or in any way arising from my participation in any classes, training, events and/or activities offered by Ninja Playground.  
  3. Agree not to initiate, assign, maintain, prosecute or otherwise participate or assist in, benefit from, finance, support, maintain or pursue any action, claim, demand, cause of action or proceeding (whether at law or otherwise) against Ninja Playground or any Ninja Playground Affiliate to the extent such action, claim, demand, cause of action or proceeding is, directly or indirectly, derived from, related to or otherwise to any claims released above.  
  4. Shall indemnify and hold harmless Ninja Playground and all Ninja Playground Affiliates from any and all liabilities or claims arising as a result of my participation in any classes, training, events and/or activities offered by Ninja Playground. Including any such claims which allege negligent act or omissions of Ninja Playground Affiliates.  
  5. I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bear the costs of such injury or damage myself. I further certify that I am willing to assume the risk of any medical or physical condition I may have.  
  6. Acknowledge that, in the case of an injury, accident or emergency arising from my participation in the classes, training, events and activities offered by Ninja Playground, medical treatment (including emergency medical treatment) may be required. In the event I lack the capacity to make an informed decision regarding such medical treatment (for whatever reason), I hereby consent to receive medical treatment (including emergency medical treatment) which may be deemed advisable when considering the facts and circumstances giving rise to the need for such medical treatment and, to the maximum extent permitted by law, Youth Accident Waiver, Release of Liability, Indemnity and Media Release Ninja Playground LLC Page 2 waive any actions, claims or demands I may have (whether at law or otherwise) arising from such medical treatment.  
  7. Grant permission to Ninja Playground, its agents and assigns, to, without compensation or payment, photograph, video tape, record or interview me when participating in those classes, training, events and/or activities provided by or through Ninja Playground. I, for myself and my child, further grant to Ninja Playground unrestricted permission for such images, videos, and recordings of me to be used in print, video, digital and internet media and waive any right to inspect the uses of any printed or electronic copy. I, for myself and my child, agree that these images and/or voice recordings may be edited and used for a variety of purposes and that these images may be used without further notifying me or my child. I, for myself and my child, further give to Ninja Playground, without compensation or payment, all right, title and interest that I or my child may have, if any, in all finished pictures, negatives, reproductions, and copies of the original print, and further grant to Ninja Playground the right to give, sell, transfer, and exhibit the print in copies or facsimiles thereof for marketing, communications or advertising purposes.  
  8. Release Ninja Playground and its agents and assigns from any claims that may arise from these uses, including without limitation claims of defamation or invasion of privacy, or of infringement of moral rights or rights of publicity or copyright.  

     By signing below, the undersigned, for themselves and on behalf of their child, represents and warrants that they have read and fully understand the statements made above and voluntarily signs this Accident Waiver, Release of Liability, Indemnity and Media Release (this “Instrument”). The undersigned, for themselves and on behalf of their child, further agrees that no oral representations, warrants, statements, or agreements, apart from this Instrument, have been made to them. This Instrument is intended to be as broad and inclusive as is permitted by the laws of the State of Wyoming. If any portion is held invalid, it is agreed the laws of the State of Wyoming shall govern. 

Date this day of November 22, 2019.

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
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*
Check to receive information, news, and discounts by e-mail.
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*
I certify that I am 18 years of age or older
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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