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512A South Chambers Road,  Aurora Colorado 80017

303-363-7272

ASSUMPTION OF RISK | WAIVER AND RELEASE OF LIABILITY | PHOTO AND MEDIA RELEASE | MEDICAL AUTHORIZATION and PAYMENT POLICY

ACKNOWLEDGEMENT OF RISK: I am the parent and/or legal guardian of the participant named on this document. I recognize that severe injuries, including permanent paralysis or death can occur in sports or activities involving height or motion; those activities include but are not limited to gymnastics, tumbling, trampoline, movement education, dance, and stunting. I also realize that my child(ren) will be performing and training on all gymnastics events plus various training devices, including trampoline. I certify that I have consulted a physician, to the extent that I deem appropriate, concerning my child(ren)s participation in these activities. I represent to CLASAMAR Inc, Dba Colorado Gymnastics Institute (CGI), that my child is medically fit to participate. I am also aware that participation in day camps, open gym, birthday parties and competition involves transportation to and from such events and that such transportation could result in injury or death in a vehicular accident. I furthermore recognize that due to increased movement, height, flipping, twisting and inversion, the competitive pursuit of these sports and activities carries a higher degree of risk of catastrophic injury than do the recreational versions.

CONSENT AND ASSUMPTION OF RISK: Being fully aware of these dangers, I hereby give consent for my child(ren) to participate in any and all CGI programs and activities for which they are registered or attending and I ACCEPT ALL RISKS associated with this participation.

WAIVER AND RELEASE: In consideration for my or my child(ren)s participation, I hereby, for myself and my child(ren) and our respective heirs and successors, PROMISE NOT TO SUE AND FOREVER RELEASE AND DISCHARGE CGI, its officers, directors, shareholders, employees, contractors, teachers, coaches and volunteers from all liability resulting from damages or injuries incurred as a result of participation in CGI programs, including those resulting from acts of negligence. I understand that CGI has relied upon this agreement in determining the extent of insurance coverage to be obtained, and that in the absence of this Release, CGI would charge considerably higher fees to participants.

Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19 and any other contagious diseases or viruses. The novel coronavirus, COVID-19 and other diseases, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people.

CGI has put in place preventative measures to reduce the spread of disease, including COVID-19; however, CGI cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending CGI could increase your risk and your child(ren)’s risk of contracting COVID-19

By signing this agreement, I acknowledge the contagious nature of COVID-19 and other contagious diseases, and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 or other diseases, by attending CGI and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 or other disease or illness at CGI may result from the actions, omissions, or negligence of myself and others, including, but not limited to, CGI employees, volunteers, and program participants and their families.

I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at CGI or participation in CGI programming (“Claims”). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless CGI, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of CGI, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any CGI program.

PHOTO AND MEDIA RELEASE: I am aware that individual and group publicity photos and videos are taken from time to time and in consideration for my or my child(ren)s participation, I grant permission for my child(ren)s likeness to be used in CGI publicity, media usage including but not limited to social media, training tools and videos and/or advertising.

CONSENT TO MEDICAL TREATMENT: In the event of an accident or emergency, I herby authorize CGI and its representatives, including its employees, contractors, teachers, coaches and volunteers, to render first aid to my child(ren) to the extent they deem appropriate, I further authorize CGI and its representatives to transport or arrange for transportation, by ambulance if CGI deems it appropriate of my child(ren) to a hospital or any other medical or dental treatment for my child(ren). Additionally, I hereby agree to be personally responsible for payment of all medical and dental expenses, including transportation, which may be incurred by myself on behalf of my child(ren) as a result of any injury sustained while participating at or for CGI, including future medical and dental expenses related to such injury.

I have read and understand this ASSUMPTION OF RISK and WAIVER OF AND RELEASE OF LIABILITY and PHOTO RELEASE and MEDICAL AUTHORIZATION and PAYMENT POLICY and RESPONSIBILITIES and my signature below indicates my voluntary agreement with the terms set forth above.



June 14, 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*

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*
Parent or Guardian's Email Address

Email*

Confirm Email*
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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