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All-Around Athlete Waiver

All- Around Athlete L.L.C


PARTICIPATION LIABILITY WAIVER/INFORMED CONSENT & EMERGENCY


CONTACT FORM


Only one form per child/adult must be

submitted.


1. Permission. I am the parent or guardian of the child whose application is being submitted herewith. I give permission for my

child/myself to participate in the program, All-Around Athlete L.L.C for which I have registered my child/ myself.

2. Waiver. I assume, on behalf of myself, my child, and my heirs, assignees, agents, and anyone who could bring any claim or

action on behalf of my child, all risks associated with participation in the class. All- Around Athlete L.L.C assumes no liability for

loss, accident, bodily injury, or other injury arising from participation in the program that is not the result of gross negligence or

intentional acts by the agents and/or employees of any of these entities.

3. Instructors. The instructors provided to teach the offered class(es) are approved.

4. Fitness. I understand and agree that any physical activities involved in this program may carry a risk of serious bodily injury.

Due to the strenuous nature of some activities, each participant is encouraged to consult his or her physician concerning fitness

to participate in the program. All-Around Athlete has made no physical assessment of my child prior to his or her participation in

the class(es) and I assume the responsibility for making such assessment.

5. Emergency Care. I consent to emergency treatment for my child if deemed necessary during my child’s attendance at the

class(es). I understand that no coverage or reimbursement for medical expenses shall be available from All-Around Athlete or

any of their staff, and I agree to be responsible for all medical expenses relating to my child’s participation in this program.

Furthermore, I agree that none of All-Around Athlete or any of their staff, shall be held responsible for the quality of medical care

given in any such emergency.

6. Weather Policy. I understand that All-Around Athlete L.L.C will do everything in its power to ensure that classes are held as

scheduled; however, if classes are cancelled or rescheduled due to bad weather or other unforeseen emergencies, I will

reschedule all classes that were missed due to inclement weather.

7. Covid-19 Pandemic. I, ______

___________ knowingly and willingly consent to have my child,

participate in All-Around camp/party during Covid-19 Pandemic. I understand that Covid-19 virus has a long

incubation during which carriers of the virus may not show any symptoms and still be highly contagious. It is

impossible to determine who has it and who does not have it given the current limits in virus testing and detection.

__________


I understand that due to the nature of the games and other kids, the characteristics of the virus, and the involvement of other

kids, that I have elevated risk of contracting the virus simply by being a part of the summer camp. ___

I confirm myself and child are not presenting any of the follow symptoms of the COVID-19virus listed below. ___

* Fever temperature * shortness of breath *loss of sense of taste or smell *dry cough * runny nose *sore throat

I understand I will follow the Governors and the various agencies of Alabama guidelines for close-contact businesses to keep


me and other clients safe. ____

___


8.Pictures. I give All-Around Athlete exclusive rights to use photos for marketing purposes. I acknowledge that I have read,

understood, and submit to this Permission and Waiver Agreement.

I HEREBY AFFIRM THAT I HAVE READ AND FULLY UNDERSTAND THE

ABOVE STATEMENTS.

_________________________________April 21, 2024___________ (Signature of legal

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.
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*

Last Name*

Relationship*

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.


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