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FLIPPING OUT TUMBLING INC.

RELEASE AND WAIVER OF LIABILITY

This document waives important legal rights. Read it carefully before signing.

I (the “Undersigned”) understand that gymnastics, tumbling, cheerleading and other related activities (including camps and clinics that involve the same) involve physical or mental exertion and are high-risk activities (collectively, the “Activity”). I am participating myself, or allowing my children/child to participate, voluntarily, at my or their own risk (as applicable) and by signing below I am representing that I have the legal authority to waive the rights on my own behalf and/or on behalf of my children. I understand that some of the Activity will occur at premises owned or leased by Flipping Out Tumbling Inc. (“FOT”), including without limitation the premises located at 322 East Allen Street, Mechanicsburg, PA 17050 (the “Property”), and certain other locations where training or competition may occur. This Release and Waiver of Liability (the “Release”) is intended to cover all Activity regarding of location.

I am fully aware and acknowledge that the Activity is inherently dangerous and includes risk of accident, loss, and serious bodily injury including, but not limited to, broken bones, head injuries, trauma, pain, suffering or even death. I fully understand that this Release covers, but is not limited to, any and all inherent risks of the Activity. I agree that by signing this Release I am assuming all risk of harm resulting from the Activity or being on the Property for me or my children.

1.             The Undersigned, on behalf of him/herself and his/her children, hereby expressly waives and releases any and all claims, now or hereafter known, whether in law, equity or otherwise, either now known or unknown, suspected or unsuspected, including but not limited to any state or federal statutory or common law claim or remedy, against FOT and its owners, coaches, administrators, officers, directors, managers, employees, agents, representatives, affiliates, members, successors, and assigns (collectively, the "Releasees"), on account of injury, disability, death, or property damage arising out of or attributable to participation in the Activity or being on the Property, whether arising out of the ordinary negligence of FOT or any Releasees or otherwise (collectively, the “Claims”). The Undersigned covenants not to make or bring any such Claims against FOT or any other Releasee, and forever releases and discharges FOT and all other Releasees from liability under such Claims.

2.             The Undersigned agrees that the acts and omissions of its family members, including but not limited to the Undersigned’s children or spouse, either participating in the Activity or visiting the Property or in connection with the Activity, constitute the Undersigned’s acts or omissions for the purpose of this Release, and that FOT and all other Releases shall not be liable for any such acts or omissions.

3.             The Undersigned shall defend, indemnify, and hold harmless FOT 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 attorneys’ fees, the costs of enforcing any right to indemnification under this Release, and the cost of pursuing any insurance providers, incurred by FOT or any other Releasees arising out of or resulting from any claims brought by a third party including, but not limited to, any Claims against any of the Undersigned’s owners, officers, directors, managers, members, shareholders, employees, agents, representatives, guests, licensees or invitees, in connection with participation in the Activity or being on the Property, including any Claim related to the Undersigned’s own negligence or the ordinary negligence of FOT or other Releasees.

4.             The Undersigned agrees that he/she/they will follow all written or oral instructions of any representative or agent of FOT while participating in the Activity or while on the Property.

5.             If any term or provision of this Release is invalid, illegal, or unenforceable, such invalidity, illegality, or unenforceability shall not affect any other term or provision herein. This Release is binding on and shall inure to the benefit of FOT, the Undersigned and their respective successors, assigns, heirs, executors, minors, and personal representatives of the parties. All matters arising out of or relating to this Release shall be governed by and construed in accordance with the laws of the Commonwealth of Pennsylvania without giving effect to any choice or conflict of law provision or rule. Any claim or cause of action arising under this Release and Waiver of Liability may be brought only in the federal and state courts located in Cumberland County, Pennsylvania and the parties hereby consent to the exclusive jurisdiction of such courts.

6.             If this form is signed by the parent/guardian of a child, then all representations and acknowledgements herein are expressly made by, for and on behalf of the parent/guardian and child. By signing below the Undersigned is representing to FOT that the Undersigned is not aware of any injury, illness or health related issues that would prohibit, restrict or limit either me, or my child/children’s ability to participated in any Activity.  

7.             The Undersigned acknowledges that he/she/they enter into this Release after having read the same and they place their signature below without coercion. By signing below, the Undersigned represents that he/she/they fully understand the contents of the Release, that he/she/they do not need any further explanation and waive any request for such explanation.

BY SIGNING, THE UNDERSIGNED ACKNOWLEDGES THAT HE/SHE/THEY HAS OR HAVE READ AND UNDERSTOOD ALL OF THE TERMS OF THIS RELEASE AND THAT THE UNDERSIGNED IS VOLUNTARILY GIVING UP SUBSTANTIAL LEGAL RIGHTS OR THE PART OF THE UNDERSIGNED AND/OR THE CHILDREN OF THE UNDERSIGNED, INCLUDING THE RIGHT TO SUE FLIPPING OUT TUMBLING INC.

Date: April 26, 2024

First Participant's Name

First Name*

Last Name*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Information
Do you grant permission for FOT record your child’s likeness on video, audio or photos and to use the information for the purpose of promoting or marketing Flipping Out Tumbling Inc. on social media, the FOT website or during presentations?*
No
Yes
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
Do you grant permission for FOT record your child’s likeness on video, audio or photos and to use the information for the purpose of promoting or marketing Flipping Out Tumbling Inc. on social media, the FOT website or during presentations?*
No
Yes
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
Do you grant permission for FOT record your child’s likeness on video, audio or photos and to use the information for the purpose of promoting or marketing Flipping Out Tumbling Inc. on social media, the FOT website or during presentations?*
No
Yes
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
Do you grant permission for FOT record your child’s likeness on video, audio or photos and to use the information for the purpose of promoting or marketing Flipping Out Tumbling Inc. on social media, the FOT website or during presentations?*
No
Yes
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
Do you grant permission for FOT record your child’s likeness on video, audio or photos and to use the information for the purpose of promoting or marketing Flipping Out Tumbling Inc. on social media, the FOT website or during presentations?*
No
Yes
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
Do you grant permission for FOT record your child’s likeness on video, audio or photos and to use the information for the purpose of promoting or marketing Flipping Out Tumbling Inc. on social media, the FOT website or during presentations?*
No
Yes
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
Do you grant permission for FOT record your child’s likeness on video, audio or photos and to use the information for the purpose of promoting or marketing Flipping Out Tumbling Inc. on social media, the FOT website or during presentations?*
No
Yes
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
Do you grant permission for FOT record your child’s likeness on video, audio or photos and to use the information for the purpose of promoting or marketing Flipping Out Tumbling Inc. on social media, the FOT website or during presentations?*
No
Yes
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
Do you grant permission for FOT record your child’s likeness on video, audio or photos and to use the information for the purpose of promoting or marketing Flipping Out Tumbling Inc. on social media, the FOT website or during presentations?*
No
Yes
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
Do you grant permission for FOT record your child’s likeness on video, audio or photos and to use the information for the purpose of promoting or marketing Flipping Out Tumbling Inc. on social media, the FOT website or during presentations?*
No
Yes
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
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*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information
Do you grant permission for FOT record your child’s likeness on video, audio or photos and to use the information for the purpose of promoting or marketing Flipping Out Tumbling Inc. on social media, the FOT website or during presentations?*
No
Yes
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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