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Answers Academy

Fitness Center Release Form

Liability Release, Assumption of Risk and Indemnity Agreement

I hereby release, and agree to indemnify and hold harmless, and covenant not to sue, Answers in Genesis, Inc. ("Answers in Genesis"), and all their affiliated companies, including but not limited to Crosswater Canyon, Inc., and Ark Encounter, LLC, and their respective directors, officers, members, employees, volunteers, contractors, agents, and representatives from and against any and all liabilities, loss, or damage to persons or property which may occur in connection with my participation in fitness activities at the Fitness Center at the Answers in Genesis headquarters (HQ), to the fullest extent permitted by law. I agree to assume all risks associated with my participation in such activities, including but not limited to: aerobic activities and the use of exercise equipment such as ellipticals, tread mills, stationary bikes, weight bench, weight machines (leg press, leg curl, seated row, hip adductor/abductor, shoulder press) bench press, dumb bells, kettle bells, exercise ball, and other activities and equipment at the Fitness Center.

I acknowledge that there are risks of personal injury for persons engaging in such activities, and I represent that I am in good physical condition and am able to participate in such activities.

I grant Answers in Genesis or its designee the right to use my name, likeness, image, voice, appearance and performance from the event embodied in any video, film, broadcast, photographs, slides, or other media or product, now known or later developed, including all copyright interests therein, and acknowledge that I have no interest or ownership in such products or their copyright.

If participant is a minor, then acceptance of this Agreement is made on behalf of such minor by the parent or guardian noted below.


Today's date:

November 16, 2024

First Parent or Guardian's Name

First Name*

Last Name*

Phone*
First Parent or Guardian's Age Acknowledgment*
First Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
First Parent or Guardian's Information

Alternate Emergency Phone Number
First Parent or Guardian's Signature*
Second Parent or Guardian's Name

First Name*

Last Name*

Phone*
Second Parent or Guardian's Date of Birth*
Second Parent or Guardian's Information

Alternate Emergency Phone Number
Third Parent or Guardian's Name

First Name*

Last Name*

Phone*
Third Parent or Guardian's Date of Birth*
Third Parent or Guardian's Information

Alternate Emergency Phone Number
Fourth Parent or Guardian's Name

First Name*

Last Name*

Phone*
Fourth Parent or Guardian's Date of Birth*
Fourth Parent or Guardian's Information

Alternate Emergency Phone Number
Fifth Parent or Guardian's Name

First Name*

Last Name*

Phone*
Fifth Parent or Guardian's Date of Birth*
Fifth Parent or Guardian's Information

Alternate Emergency Phone Number
Sixth Parent or Guardian's Name

First Name*

Last Name*

Phone*
Sixth Parent or Guardian's Date of Birth*
Sixth Parent or Guardian's Information

Alternate Emergency Phone Number
Seventh Parent or Guardian's Name

First Name*

Last Name*

Phone*
Seventh Parent or Guardian's Date of Birth*
Seventh Parent or Guardian's Information

Alternate Emergency Phone Number
Eighth Parent or Guardian's Name

First Name*

Last Name*

Phone*
Eighth Parent or Guardian's Date of Birth*
Eighth Parent or Guardian's Information

Alternate Emergency Phone Number
Ninth Parent or Guardian's Name

First Name*

Last Name*

Phone*
Ninth Parent or Guardian's Date of Birth*
Ninth Parent or Guardian's Information

Alternate Emergency Phone Number
Tenth Parent or Guardian's Name

First Name*

Last Name*

Phone*
Tenth Parent or Guardian's Date of Birth*
Tenth Parent or Guardian's Information

Alternate Emergency Phone Number
Parent or Guardian's Email Address

Email
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
Parent or Guardian'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:*
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 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

Alternate Emergency Phone Number
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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