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Little Whale Tumble School


ALL Tumble MERS (CHILDREN AND ADULTS) MUST HAVE A WAIVER SIGNED PRIOR TO ENTERING THE SCHOOL. THIS IS REQUIRED!


INFORMED CONSENT AND WAIVER/RELEASE

I, the undersigned, as the parent(s) or legal guardian(s) of the child(ren) or as a participant myself listed on the application in consideration of the request and permission of my son(s)/daughter(s) or myself to participate in Little Whale Tumble School’s programs, including, but not limited to Tumble lessons, open play, birthday parties, clinics, and workshops hereby assume full responsibility for all risks of injury or loss which may result from my son(s)/daughter(s) participation in this activity and hereby agree to hold harmless, release and forever discharge Little Whale Tumble School, its officers, agents and employees from and waive any and all claims and demands whatsoever which the undersigned and any of them or any third person of any accident, illness, injury or death of any person and persons, or damage or loss or destruction of any property arising or resulting from Tumbling and/or running indirectly from my son(s)/daughter(s) participation to the aforementioned program and occurring.


Parents of children under 3 must be with their child and over 3 must be supervised by parent.


PHOTOS AND VIDEOS AUTHORIZATION

I understand that photos and videos may be taken during my child(ren)’s Tumble class. This media may be used for staff training and/or advertising for Little Whale Tumble School. I may notify a customer service specialist if I wish to exclude my child(ren) from any photos or videos being taken.

SOLICITATIONS:

Little Whale Tumble Schools prohibit all financial transactions or work arrangements between its employees and customers, including baby-sitting. I agree that while on Little Whale Tumble School property, I will not solicit any Little Whale Tumble School employee for work or services, including baby-sitting, even though the activity will occur off Tumble School property. Employees may not accept any payment, gifts, rewards, monies or gratuities of any kind from a customer. The only exception is for “token” gifts by customers when given solely based upon an employee’s work performance at the Tumble School. (The School believes that financial transactions or other arrangements between its employees and customers, such as babysitting, could create a conflict of interest, give impressions of favoritism, affect employees’ judgements and lead to other negative consequences.)


Today's Date: February 22, 2025

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
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First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
For Tumble Enrollment & Party Details
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*

Middle Name

Last Name*

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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