There is a potential risk for injury in circus/ninja skills training. The club has tried to create a safe and controlled environment for participation. Rules have been established for participation and around the gym that MUST be followed. I, the undersigned, and the participant or the person at law responsible for the participation in a program/activity, recognize that a risk of injury for myself, or for the named registrant & participant for who I am at law responsible, and assume full responsibility during and after my/their program/activity.

I acknowledge my/their obligation to immediately discontinue any program/activity and inform the instructor/supervisor of any pain, discomfort, fatigue, injury, limitation or other problems, symptoms that I/they may suffer or become aware of before, during and immediately after their participation. I understand I/they may stop participation in any program/activity if desired. I understand that I/they may ask any questions or request further information about the facilities or program/activities offered by Zacada Circus School Ltd. At any time before, during and after participation.

I acknowledge and willingly assume all risks associated with participation in the program/activity and hereby release Zacada Circus School Ltd. And employees from all actions, damages, claims and demands whatsoever arising directly by reason of participating in the program/activity or any associated activities. I declare I have read, understand and agree to be bound by this informed consent in its entirety. Copy and paste the body of your waiver here.

Please select who will be participating...
First Parent Name

First Name*

Last Name*

First Parent Age Acknowledgment*
First Parent Date of Birth*
I certify that I am 18 years of age or older
First Parent Signature*
Email Address


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Student's Name

Students Age
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.

First Name*

Last Name*

Age Acknowledgment*
Date of Birth*
I certify that I am 18 years of age or older
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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