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RELEASE AND WAIVER OF LIABILITY FOR MINORS

PLEASE READ CAREFULLY!

THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR LEGAL RIGHTS!

This Release and Waiver of Liability (the “Release”) is executed by the below named Minor, a minor child (“Minor”) and the below named Guardian, the parent and/or legal guardian having legal custody of the Minor (“Guardian”) in favor of Counts & Lane Enterprises, Inc. d/b/a Gymnastics Counts, a Tennessee corporation, its directors, officers, employees and agents (collectively, “Gymnastics Counts”). The Minor and Guardian desire that the Minor participate in activities related to physical activity, including practicing, training, taking class, competing, participating in open gym, special events, demonstrations or shows, or in any other way involved in gymnastics, cheerleading, or teams.

The Minor and the Guardian understand that the desired activities may include climbing, running, playing, swinging, jumping, lifting, and using gymnastics equipment. The Minor and Guardian do hereby freely, voluntarily and without duress execute this Release under the following terms:

1. Waiver and Release. Minor and Guardian do hereby release and forever discharge and hold harmless Gymnastics Counts and its successors and assigns from any and all liability, claims and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from Minor’s participation in activities with Gymnastics Counts and on premises owned by Gymnastics Counts. Minor and Guardian understand that this Release discharges Gymnastics Counts from any liability or claim that the Minor of Guardian may have against Gymnastics Counts with respect to any bodily injury, personal injury, illness, death or property damages that may result from Minor’s participation in activities with Gymnastics Counts and on premises owned by Gymnastics Counts, whether caused by the negligence of Gymnastics Counts or its officers, directors, employees, or agents or the negligence of others, the condition of the facilities, equipment, or areas where the activity is being conducted, and/or the rules of play of this type of activity. Minor and Guardian also understand that Gymnastics Counts does not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to medical, health, or disability insurance in the event of injury or illness.

2. Assumption of the Risk. The Minor and Guardian understand that the participation in activities with Gymnastics Counts may include activities that may be hazardous to the Minor, including, but not limited to, climbing, running, playing, swinging, jumping, and using gymnastics equipment. Minor and Guardian hereby expressly and specifically assume the risk of injury or harm in these activities and release Gymnastics Counts from all liability for injury, illness, death, or property damage resulting from the activities of the Minor’s participation in activities with Gymnastics Counts and on premises owned by Gymnastics Counts.

3. Photographic Release. Minor and Guardian do hereby grant and convey unto Gymnastics Counts all right, title, and interest in any and all photographic images and video or audio recordings made by Gymnastics Counts during the Minor’s participation in activities with Gymnastics Counts, including, but not limited to, any royalties, proceeds or other benefits derived from such photographs or recordings.

4. Other. Minor and Guardian expressly agree that this Release is intended to be as broad and inclusive as permitted by the laws of the State of Tennessee, and that this Release shall be governed by and interpreted in accordance with the laws of the State of Tennessee. Minor and Guardian agree that in the event that any clause or provision of this Release shall be held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of this Release which shall continue to be enforceable.

I hereby consent to my/the Minor’s participation in the activity and acknowledge that I fully understand the foregoing Release and Waiver of Liability for Minors and hereby waive all claims or causes of action against Gymnastics Counts.

Date: May 2, 2024

Guardian Signature:


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 Signature*
Second Participant's Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

Email
Check to receive information, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
Additional Information

Guardian Phone No.:
Address

House Number

Street Name

City

State

Zip
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 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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