Loading...

Release of Liability, Waiver of Claims, and Assumption of Risks

BY SIGNING THIS DOCUMENT, YOU WILL WAIVE CERTAIN LEGAL RIGHTS,

INCLUDING THE RIGHT TO SUE OR CLAIM COMPENSATION

PLEASE READ CAREFULLY! 

This Release of Liability, Waiver of Claims, and Assumption of Risks hereinafter called (the "Agreement") made in Strathroy in the Province of Ontario and is by and between 12880181 Canada Inc., carrying on business as "Four Moons Training", a Canadian corporation with offices located at 75 Caradoc Street South, Strathroy, Ontario, N7G 2N5 ("FourMoonsTraining") and the individual named below (the "Participant," "I," or "me"). 

Four Moons Training Rules and Regulations 

Before and After Class:

1. This form must be completed and submitted prior to participating in any Four Moons Training program/activity.

2. Participants must wait for their instructor before entering the building/gym; your instructor will greet you at the main door prior to entry of building/gym.

3. Parents and guardians are responsible for the safety and conduct of their child/children upon entry and exit of building.

4. A 15-minute window is allotted before and after each class. Members must use this time to arrive and depart on time.

5. With respect to the entrance, hallway and bathroom, members are not permitted in other areas of building.

6. Four Moons Training is not responsible for lost or stolen items.  

In the Gym: 

1. Only those enrolled in a program are permitted in the gym or on equipment. Participants are only permitted in the gym or on equipment during their class time.

2. Participants should report any injuries to the instructor and always tell the instructor when feeling sick or hurt.

3. During class, participants must listen and follow the instructors’ direction.

4. Participants should never try new skills without an instructor’s assistance or guidance.

5. Appropriate dress:

a) Bare feet or indoor running shoes

b) No buttons, zippers, or snaps on clothing

c) No jewelry of any kind (watches, necklaces, bracelets or earrings)

d) Long hair must be tied back.

6. Food and drinks (other than water) are not permitted in the gym

7. No cell phones are permitted in the gym

WITNESSETH: That in consideration of Four Moons Training permitting me to participate in Four Moons Training 's operation of a gymnastics facility, including but not limited to, their provision of gymnastics training programs and coaching services (the “Activities”), and for other good and valuable consideration, the receipt and sufficiency of which I hereby acknowledge, I hereby agree to all the terms and conditions set forth in this Agreement.

ASSUMPTION OF RISKS

I AM AWARE AND UNDERSTAND THAT THE ACTIVITIES INVOLVE MANY RISKS, DANGERS, AND HAZARDS, INCLUDING BUT NOT LIMITED TO THE RISK OF SERIOUS INJURY, DEATH, OR PROPERTY DAMAGE. I ACKNOWLEDGE THAT I AM VOLUNTARILY PARTICIPATING IN THE ACTIVITIES. I FREELY ACCEPT AND FULLY ASSUME ANY AND ALL OF THE RISKS, DANGERS, AND HAZARDS INVOLVED AND THE POSSIBILITY OF INJURY, DEATH, OR PROPERTY DAMAGE, WHETHER CAUSED BY THE NEGLIGENCE OF FOUR MOONS TRAINING OR OTHERWISE. 

I hereby expressly waive and release any and all claims which I have or may in the future have against Four Moons Training, its affiliates, and their respective directors, officers, employees, agents, representatives, shareholders, successors, and assigns (collectively, "Releasees"), on account of injury, death, or property damage arising out of or attributable to my participation in the Activities, due to any cause whatsoever, including without limitation the negligence of Four Moons Training or any other Releasee, breach of contract, or breach of any statutory or other duty of care owing under occupiers liability legislation or otherwise. I covenant not to make or bring any such claim against Four Moons Training or any other Releasee, and forever release and discharge Four Moons Training and all other Releasees from liability under such claims. 

I SHALL DEFEND, INDEMNIFY AND HOLD HARMLESS Four Moons Training AND ALL OTHER RELEASEES AGAINST ANY AND ALL LOSSES, DAMAGES, LIABILITIES, DEFICIENCIES, CLAIMS, ACTIONS, JUDGMENTS, SETTLEMENTS, INTEREST, AWARDS, PENALTIES, FINES, COSTS, OR EXPENSES OF WHATEVER KIND, INCLUDING REASONABLE LEGAL FEES, IN CONNECTION WITH ANY THIRD-PARTY CLAIM, SUIT, ACTION, OR PROCEEDING ARISING OUT OF OR RESULTING FROM THE ACTIVITIES. 

I further hereby warrant that the I am physically fit to participate in the Activities, and I hereby declare that I have accurately disclosed all information regarding physical, mental or medical conditions affecting me and I acknowledge that this information may be used Four Moons Training in the delivery of the Activities. I understand and accept that Four Moons Training has tried to create a safe and controlled environment for participation in the Activities and that Four Moons Training has established rules and regulations for participation that must be followed by me and all other participants. I understand that a failure to comply with any of these policies, rules, and regulations of Four Moons Training may result in the suspension or termination of my membership and/or participation in the Activities.

This Agreement constitutes the entire agreement of Four Moons Training and me with respect to the subject matter contained herein and supersedes all prior and contemporaneous understandings, agreements, representations, and warranties, both written and oral, with respect to such subject matter. If any term or provision of this Agreement is held to be invalid, illegal, or unenforceable in any jurisdiction, such invalidity, illegality, or unenforceability shall not affect any other term or provision of this Agreement or invalidate or render unenforceable such term or provision in any other jurisdiction. This Agreement is binding on and shall ensure to the benefit of me and my heirs and next-of-kin, and Four Moons Training and its successors and assigns. 

This Agreement shall be governed by and construed in accordance with the laws of the Province of Ontario and the federal laws of Canada applicable therein. Any claim or cause of action arising under this Agreement may be brought only in the courts of the Province of Ontario, and I hereby consent to the exclusive jurisdiction of such courts. 

I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTOOD ALL OF THE TERMS OF THIS AGREEMENT AND THAT I AM VOLUNTARILY WAIVING SUBSTANTIAL LEGAL RIGHTS (ON MY BEHALF AND ON BEHALF OF MY HEIRS, EXECUTORS, ADMINISTRATORS, AND NEXT-OF-KIN), INCLUDING THE RIGHT TO SUE FOUR MOONS TRAINING AND THE RELEASEES.

IN WITNESS WHEREOF, the Participant has executed this Release of Liability, Waiver of Claims, and Assumption of Risks as of the date of the Participant’s signature below. 

I am the parent or legal guardian of the minor named above. I have the legal right to consent to and, by signing below, I hereby do consent in all respects to the terms and conditions of this Release of Liability, Waiver of Claims, and Assumption of Risks and agree that both the minor and I shall be bound by all of its terms and conditions. 

Date: July 27, 2026

First Participant's Name
First Name*
Last Name*
Phone*
Select Gender
First Participant's Date of Birth*
Date of Birth
Information
Allergies/Medical Concerns:*
Yes
No
Specify:
Have you ever suffered from a concussion (Please circle the correct answer)? *
Yes
No
IF YES Please indicate the number of times
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Information
Allergies/Medical Concerns:*
Yes
No
Specify:
Have you ever suffered from a concussion (Please circle the correct answer)? *
Yes
No
IF YES Please indicate the number of times
Third Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Information
Allergies/Medical Concerns:*
Yes
No
Specify:
Have you ever suffered from a concussion (Please circle the correct answer)? *
Yes
No
IF YES Please indicate the number of times
Fourth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Information
Allergies/Medical Concerns:*
Yes
No
Specify:
Have you ever suffered from a concussion (Please circle the correct answer)? *
Yes
No
IF YES Please indicate the number of times
Fifth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Information
Allergies/Medical Concerns:*
Yes
No
Specify:
Have you ever suffered from a concussion (Please circle the correct answer)? *
Yes
No
IF YES Please indicate the number of times
Sixth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Information
Allergies/Medical Concerns:*
Yes
No
Specify:
Have you ever suffered from a concussion (Please circle the correct answer)? *
Yes
No
IF YES Please indicate the number of times
Seventh Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Information
Allergies/Medical Concerns:*
Yes
No
Specify:
Have you ever suffered from a concussion (Please circle the correct answer)? *
Yes
No
IF YES Please indicate the number of times
Eighth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Information
Allergies/Medical Concerns:*
Yes
No
Specify:
Have you ever suffered from a concussion (Please circle the correct answer)? *
Yes
No
IF YES Please indicate the number of times
Ninth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Information
Allergies/Medical Concerns:*
Yes
No
Specify:
Have you ever suffered from a concussion (Please circle the correct answer)? *
Yes
No
IF YES Please indicate the number of times
Tenth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Information
Allergies/Medical Concerns:*
Yes
No
Specify:
Have you ever suffered from a concussion (Please circle the correct answer)? *
Yes
No
IF YES Please indicate the number of times
Parent or Guardian's Email Address
Email*
Confirm Email*
Check to receive information, news, and discounts by e-mail.
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:*
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
Emergency Contact's Relation to Participant
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*
Select Gender
Parent or Guardian's Date of Birth*
Date of Birth
Information
Allergies/Medical Concerns:*
Yes
No
Specify:
Have you ever suffered from a concussion (Please circle the correct answer)? *
Yes
No
IF YES Please indicate the number of times
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!