Loading...

RELEASE OF LIABILITY, WAIVER OF CLAIMS
ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT 

By signing this document, you will waive certain legal rights, including the right to sue.
PLEASE READ CAREFULLY

 

Voluntary Assumption of Risk:

  • I am aware that the gymnastics, tumbling, cheer, trampoline, parkour and ninja training are Activities that involve significant risk including risk of personal injury, death, expense and related loss, including loss of income.  I also understand that the risk cannot be eliminated.  The risk of injury includes minor injuries such as bruises, cuts and scrapes and more serious injuries such as broken bones, dislocation of joints, muscle pulls and ligament/tendon damage.  The risk also includes catastrophic injuries such as temporary or permanent paralysis or even death from landings or falls on back, neck or head.
  • If participating in the Activities via online streaming means that there will be no in-person supervision while you perform the Activities, which presents increased risks. You acknowledge these risks and agree to participate in the Activities to the extent that it is safe and reasonable for you to do so, at your own discretion. This includes finding a safe space to participate in the Activities, not pushing yourself too far while undertaking the Activities, and not trying to complete Activities if you are unsure about how to best practice them.
  •  In exchange for my/my child's participation in classes, training, events and other Activities, I agree to assume such risks and to release, discharge and agree to indemnify and hold harmless Green Mountain Gymnastics Inc. (“GMG”) d/b/a Green Mountain Training Center ("GMTC"), its employees, directors, officers and agents (collectively, the "Released Parties") from any liability, loss or damage, including but not limited to that arising from negligence of any of the Released Parties, which may result to me or any minor child of mine, except where such loss or damage is the result of intentional or reckless conduct of the Released Parties, including the contraction of the COVID-19 or other communicable diseases.

Affirmation of Health/Medical Attention:

  • I fully understand that GMG employees are not physicians or medical practitioners of any kind.  I authorize GMG employees to render temporary first aid to myself or my child in the event of an injury or illness.
  • COVID-19 / Infectious Disease. Amidst the current developments surrounding communicable diseases, you acknowledge every time you participate in the Activities you are affirming that you are healthy and able to engage in practice and are not at an increased risk due to COVID-19 or other infectious diseases. If you are suffering from symptoms of a communicable disease or are unsure of your health and ability to practice the Activities, please consult with your doctor and we urge you not to visit our facility or participate in our Activities. We are all in this together and it is important that we follow guidelines on social distancing, hygiene practices, and act with kindness and responsibility towards each other to ensure everyone’s safety.  
  • I give my consent to GMG and/or host organization to provide, through a medical staff of choice, customary medical/athletic training attention, transportation and emergency medical services as warranted.  I understand that the costs of all medical attention are my responsibility and not that of GMG.

Signature of Agreements:

  • AS THE LEGAL PARENT OR GUARDIAN, I HAVE READ THIS AGREEMENT AND UNDERSTAND IT. I AM AWARE THAT BY AGREEING TO THE POLICIES ABOVE, I AM WAIVING CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE, WHICH I OR MY NEXT OF KIN, HEIRS, EXECUTORS, ADMINISTRATORS AND ASSIGNS MAY HAVE AGAINST GMG AND OTHERS. By signing this document, I agree to the above terms and policies of Green Mountain Gymnastics, Inc. DBA Green Mountain Training Center.
  • I understand by signing this agreement, I give my consent and understanding of the policies stated above in addition to all future policy updates and changes, provided that I am provided with notice of any such updates and changes. 

Todays date: April 19, 2024

 

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*
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

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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!