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PARTICIPANT AGREEMENT, RELEASE & ASSUMPTION OF RISK & General Class/school rules. 

 

In consideration of the services of Pittsburgh Circus Center, their agents, owners, officers, volunteers, employees, instructors, and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as “PCC”), I hereby agree to release, indemnify, and discharge PCC, on behalf of myself, my spouse, my children, my parents, my heirs, assigns, personal representative and estate as follows:

 

I acknowledge that my participation in Circus Arts and/or any

other program/class that PCC offers, entails known and

unanticipated risks that could result in physical or emotional

injury, paralysis, death, dismemberment, and/or damage

to myself, to property, or to third parties. 

 

I understand that such risks simply cannot be eliminated

without jeopardizing the essential qualities of the activity. 

The risks may include but are not limited to:

slips, trips and falls; falling from equipment; collision with

other participants, spectators,or objects; rope burns; silk burns;

tape irritation; allergic reactions; pinches, scrapes, bruises, contusions,

lacerations, open cuts/blisters, skin irritation, twists, strains, sprains,

jolts, fractures,concussions, minor and major

joint/tendon/bone/cranial/spinal- cord /nerves/muscle/skin/mucosa/

eye/ear/nose/oral/genital injuries,miscarriage,

exposure/infection of illness/disease/fungal/bacterial/viral and other severe

life threatening hazards and dismemberment; the negligence of other

participants, faulty equipment of any and all kind,

building structure/stairs/plumbing/

electricity/heat/gas/flooring/ceiling/walls/paint etc.,

visitors, or any other person who may be past or present;

psychological injuries or physical damage associated with this

activity.  In any event, if you, your child, your spouse or any

other person/animal /thing accompanying you is

injured/broken/damaged/stolen, any and all medical/psychological

assistance, replacement value will be at your own expense. 

 

Furthermore, PCC personnel have difficult jobs to perform. 

They seek safety, but they are not infallible. 

They might be unaware of a participant’s fitness or abilities.

They may not be able to see a known injury of participant. 

They may not be able to notice a pregnancy.   

They may not be aware of special needs or fully

understand the limitations of particular special needs.

They might misjudge the weather or environmental conditions. 

They may give incomplete warnings or instructions, and the equipment

being use may malfunction as well as the building structure

including all items both in and outside of the building. 

I expressly agree and promise to accept and assume all

of the risks existing in the activities offered by PCC.

 My participations in PCC activities is purely voluntarily, and I

electto participate in spite of the risks mentioned and

unmentioned in this waiver.  I hereby voluntarily release,

foreverdischarge, and agree to indemnify and hold harmless

PCC from any and all claims,demands, or causes of action,

which are in any way connected with my participation in the

activities or my use of PCC’s equipment or facilities, i

ncluding any such claims which allege negligent acts or

omissions of PCC. 

 

Should PCC or anyone acting on their behalf, be required to

incur attorney’s fee and costs  to enforce this agreement,

I agree to indemnify and hold them harmless for all such

fees and costs. I agree to pay upfront or repay any legal

costs that PCC or its agents would incur relating to my

presence at their activity. 


I certify that I have adequate insurance to cover any injury

or damage I may cause to suffer while participating,

or else agree to bear the costs of such injury or damage. 

I further certify that I am willing to assume the risks

of any medical or physical condition I may have.

I am agreeing to waiver all rights of bringing

lawsuit/magistrate/police/bill collectors/private

investigator/GPStracking/eaves dropping/defaming/

slandering/cyber bullying/cyber squatting/legal mailings/

legal paperwork of any kind to and or against PCC and

ANY of the their agents, instructors,friends, family members,

customers,spectators,visitors, building owners, vendors,

contractors, maids,or any other persons affiliated in any

capacity to PCC in any state or country, or counter 

action will be necessary by PCC.

 

I may be pregnant, injured or disabled at this time

and I fully understand the repercussions and risks of

participating in PCC’s activities. 

However, PCC has the right to insist that I not partake in

activities due to inherent risks. 

 

By signing this document, I acknowledge that if anyone is hurt or property is damaged/stolen

during participation in PCC’s activities, I will be found by a court of law to have waived my right to bring

a lawsuit or any legal action against PCC on the basis of any claim from which I have released them herein. 

I also agree that this document is valid for this and any subsequent visits and participation with PCC both indoors and out.  

I have had sufficient opportunity to read this entire document. 

I have read and understood it, and I agree to be bound by its terms. 

This waiver is valid for an indefinite amount of time or until PCC

asks that I sign a new waiver. 

 

General PCC rules: COVID

Due to Covid regulations, the following must be implemented: 

All persons must refrain from PCC activities and appearance in the

building if there has been know infection or exposure to Covid or any symptoms

set forth by the CDC that may indicate Covid. 

All persons MUST wear a mask unless otherwise specified. 

All persons will have temprature screening with contactless device. 

PCC will request sanitizer be placed on hands and soles of feet before

entering the main circus floor. You may opt for washing at the sink. 

All longer hair MUST be kept in ponytail/braid/bun.  

Spectators are NOT ALLOWED unless a rare exception is made by our staff. 

The above stated regulations/rules are not optional. 

These have been set forth by the CDC. 

Until PCC is told otherwise, we will enforce. 

 

  • We have a NO FOOD policy. 
  • You must be dress appropriately to partake in activities. 
  • Our website gives details on acceptable clothing. 
  • No profanity verbally or by way of apparel or body markings. 
  • Small facial jewlery should be okay but other piercings are discouraged. 
  • Long nails are unacceptable- you must be able to make a tight fist without nails compromising your grip.  
  • Perfume, oils of any kind are prohibited.  
  • Smokers are expected to freshen up their skin, clothing, breath before participating.  

As with any recreation facility that is open to the public, all steps are necessary to

ensure the facility remains clean, safe, welcoming, non competitive and family friendly for all ages.  

We will expect your best behavior while at PCC.  

 

 

 

 

 

 

First Participant's Name

First Name*

Last Name*

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

First Name*

Last Name*

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

First Name*

Last Name*

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

First Name*

Last Name*

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

First Name*

Last Name*

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

First Name*

Last Name*

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

First Name*

Last Name*

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

First Name*

Last Name*

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

First Name*

Last Name*

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

First Name*

Last Name*

Phone*
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*
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*
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. Paper copies are not available however an electronic signed copy will be sent to your email address provided.


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