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Waiver to Play – Enter the World of Wings, Wonder & Movement



Waiver to Play – Your First Step into the Magic of Ripon Youth Center



Welcome to Ripon Youth Center, home of the flips, fairy dust, and fearless fun! Whether your child is twirling through our Fairy Craft Café, soaring through the Flight Academy, or bouncing into one of our magical camps—this is where the journey begins.


Please read through the details below. By signing this waiver, you acknowledge the playful spirit of our programs, while also understanding the importance of safety, responsibility, and mutual respect in our enchanted space.





1. Acknowledgement of Participation



I understand that my child (or I, if over 18) will be participating in physical, creative, or recreational activities that may include—but are not limited to—gymnastics, tumbling, obstacle courses, arts and crafts (including glass, resin, or small materials), and interactive movement games.


I acknowledge that participation involves some degree of risk, and I voluntarily assume full responsibility for any injury or loss arising from such participation.





2. Assumption of Risk & Release of Liability



I agree to release, waive, and discharge Ripon Youth Center, its owners, directors, independent contractors, staff, and volunteers from any and all liability, claims, or demands arising out of any injury or property damage sustained while participating in or observing activities on the premises or at related events.





3. Independent Contractor Clause



I understand that all coaches, instructors, and program leaders at Ripon Youth Center operate as independent contractors. Ripon Youth Center is not liable for their individual actions beyond the scope of their contracted services.





4. Emergency Medical Authorization



In the event of an emergency, I authorize Ripon Youth Center and its representatives to seek medical care for my child or myself. I understand I am financially responsible for any treatment provided.





5. Media & Photography Release



[Checkbox] I grant permission for photos/videos of my child/myself to be used in Ripon Youth Center’s social media, website, and promotional materials.

[Checkbox] I do not grant permission for media use.





6. Tuition & Policy Agreement



I understand tuition is based on an annual program and billed monthly. Some months may have 3, 4, or 5 weeks; tuition remains consistent to reflect the yearly schedule. I acknowledge that Ripon Youth Center does not offer refunds, credits, or make-up classes for missed sessions. A 30-day written notice (via text or email) is required for withdrawal from any program. A new registration fee is required if returning after a 90-day absence.





7. Code of Conduct



I agree to encourage a respectful, kind, and inclusive environment. Ripon Youth Center reserves the right to remove any participant whose behavior is unsafe or misaligned with the spirit of the space.


Fill out the waiver by scanning Your Driver's License

This scanner is designed as an optional onsite tool to streamline the waiver-signing process. If you are not at the business' location or prefer not to scan your license please skip this option and proceed below to fill out the waiver.

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First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
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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.
Parent or Guardian's Name
First Name*
Middle Name
Last Name*
Phone*
Parent or Guardian's Date of Birth*
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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