Loading...

Open Gym LLC

Liability Waiver


I, acting as myself or the parent or guardian of the participant listed, acknowledge that participation in athletic events necessarily involves risk of physical injury. I understand that my child will be participating in strenuous physical activity, and I am entirely responsible for ensuring that my child is physically able to participate, and my child has no known medical conditions that would restrict participation.

In consideration for accepting the participation in the OpenGym LLC (OpenGym) event(s) for the Participant noted, I hereby release, discharge and hold harmless the OpenGym staff, volunteers and owners from any claims arising out of, or relating to any physical injury that may result to the participant noted, while participating in a OpenGym event, including any physical injury caused by the negligence of any OpenGym staff, volunteer, or owner while performing their duties during the event for OpenGym

I acknowledge that I understand that at OpenGym LLC all areas of the gym facility are recorded 24/7. As part of the offerings at OpenGym cameras are used for security, loss preventions as well as to track analytics for the participants in the gym. I hereby authorize OpenGym LLC to use my Image, Likeness and name, still photography, data, video or live streaming. OpenGym is authorized to use these images to promote OpenGym  

I understand that I, or my noted, designated emergency contact will be contacted in the event my child is deemed to need medical attention. In the event that I, or my emergency contact, cannot be reached in an EMERGENCY, I hereby give permission to the attending (IF attended) OpenGym Staff representatives to secure proper treatment for my child.

By completing the purchase this session at OpenGym, you are agreeing to the terms of this waiver.

Today's Date: October 18, 2024

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*
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*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
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*

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!