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THE FUN STUFF

WARNING:
THIS IS AN IMPORTANT DOCUMENT WHICH AFFECTS YOUR LEGAL RIGHTS AND OBLIGATIONS. READ IT CAREFULLY AND DO NOT SIGN IT UNLESS YOU ARE SATISFIED THAT YOU UNDERSTAND IT. IF YOU HAVE ANY QUESTIONS PLEASE ASK YOUR REPRESENT ATIVE.

ACKNOWLEGEMENT OF RISKS, INJURY AND OBLIGATIONS

I acknowledge that the activity I am to undertake is a dangerous activity and that by participating in it I am exposed to certain risks.
I acknowledge and understand that whilst participating in such activity:

  • I may be injured, physically or mentally, or may die
  • My personal property may be lost or damaged
  • Other persons participating in such activity may cause me injury or may damage my property
  • I may cause injury to other persons or damage their property
  • The conditions in which the activity is conducted may vary without warning
  • I may be injured or die or suffer damage to my property as a result of negligence or breach of contract of Studio360 Cycle
  • There may be no or inadequate facilities for treatment or transport of me if I am injured
  • I assume the risk of and responsibility for any injury, death or property damage resulting from my participating in the activity

ACKNOWLEDGEMENT RELEASE AND ASSUMPTION OF RISK

In consideration of the acceptance of my payment in the activity (and except to the extent that the same may be precluded by statute) I agree to release and indemnify Studio360 Cycle

  • I participate in the activity at my sole risk and responsibility
  • I release, indemnify and hold harmless Studio360 Cycle, its servants and agents, from and against all and any actions or claims which may be made by me or on my behalf or by other parties for or in respect of or arising out of injury, loss damage or death caused by me or my property in any way, whatsoever.

I also agree that in the event that I am injured or my property is damaged, I will bring no claim, legal or otherwise, against Studio360 Cycle in respect of that injury or damage.
I acknowledge that I have either had a physical examination and been given permission to participate, or that I have decided to participate in activity and use of equipment without the approval of my physician and assume all responsibility for my participation and activities, and utilisation of equipment in my activities.

Finally, I acknowledge and agree that no warranties or representatives have been made to me by any representative of Studio360 Cycle regarding the results I will or may achieve from any program conducted by Studio360 Cycle. I understand that results are individual and may vary. Before signing this document I have read and understood and know it affects my legal rights.

Today's Date: April 18, 2021

Please select who will be riding
AdultMinor
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First Rider Name

First Name*

Last Name*

Phone*
First Rider Date of Birth*
First Rider Information
Did you find out about 360 from the Radio?*
No
Yes
First Rider Signature*
Rider 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*
Check to stay in the loop for all things 360! Latest challenges, new offers and events coming your way!
A signed copy of this waiver will be sent to the email address you provide.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
just a couple of questions

WHERE DID YOU HEAR ABOUT US?

IF YOU WERE REFERRED, WHO TOLD YOU ABOUT US? (we would love to thank them for sending you our way!)
I being the parent or guardian of the person named in this acknowledgement and release hereby acknowledge and agree: ▪ I have read the whole of this document and understand it. ▪ I consent to the person named in this acknowledgement and release participating in the activity and; ▪ I am aware of the risks, dangers and obligations set out above in the acknowledgement and release. In consideration of the person named in this acknowledgement and release being accepted to participate in the activity I agree and indemnify Studio360 Cycle in the same manner and to the same effect and extent as if I were the person first named in the acknowledgement and release and the person participating in the activity.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
Did you find out about 360 from the Radio?*
No
Yes
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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