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ASSUMPTION OF RISK/ WAIVER AND RELEASE OF LIABILITY/ PHOTO AND MEDIA RELEASE/ MEDICAL AUTHORIZATION/ PAYMENT POLICY

ASSUMPTION OF RISK, WAIVER OF LIABILITY As self or legal guardian of the named persons, I recognize that potentially severe injuries, including permanent paralysis or death can occur in sports or activities involving height or motion, including but not limited to gymnastics, tumbling, ninja, camps, private lessons, birthday parties, and open gym. In signing my name to this waiver I admit that I know full well the potential for injury which can occur in gymnastics, ninja and fitness activities. I understand that my participation is entirely by my own choice and with the understanding of risk of accidental injuries involving unusual motion or height. I realize that every safety precaution is enforced and that injuries may still occur. I am aware of the rules and regulations in the gym. I also understand that participation may result in possible exposure to and illness from infectious diseases, including, but not limited to, MRSA, Influenza and Covid-19. While particular rules and personal discipline may reduce this risk, a risk of serious illness and death does exist. I knowingly and freely assume all such risks, both known and unknown, and assume full responsibility for my participation and exposure. 


 

If student is a minor, it is acknowledged that the parents or legal guardian know of this activity, and will sign acknowledging the injury risk the child is assuming. Being fully aware of these dangers, I voluntarily consent to the aforementioned persons participating in any and all programs with FLIPPING FROGS, LLC and I ACCEPT ALL RISKS associated with that participation. In consideration for allowing my child to use the equipment, I, on my own behalf and the behalf of my child and our respective heirs, administrators, executors, and successors, hereby COVENENT NOT TO SUE and FOREVER RELEASE FLIPPING FROGS, LLC, its officers, directors, shareholders, employees or other representatives, whether paid or volunteer, from all liability for any and all damages or injuries suffered by my child while under the instruction, supervision or control of FLIPPING FROGS, LLC. I also understand that it is the parent’s responsibility to warn the child about the dangers of injury. The parent should warn the child according to what the parent feels is appropriate. FLIPPING FROGS, LLC will warn the child through Safety Messages and our teaching style and progressions.


PERMISSION FOR EMERGENCY MEDICAL TREATMENT/MEDICAL INSURANCE I confirm that my child is in good health and I have medical insurance on my child and will provide coverage while he/she is enrolled. I fully understand that Flipping Frogs, LLC staff members are not physicians or medical practitioners of any kind. With the above in mind, I hereby release Flipping Frogs, LLC staff members to render temporary first aid to my child in the event of any injury or illness, and if deemed necessary by the Flipping Frogs, LLC Staff to seek medical help including calling of an ambulance for said child. Additionally, I hereby agree to individually provide for all medical expenses which may be incurred by my child as a result of any injury sustained while participating with Flipping Frogs, LLC. 



If I drop a class after the term begins, I WILL NOT receive credits and/or refunds for the remaining classes in that term. I understand that Flipping Frogs, LLC does not give credit and/or refunds for, but not limited to programs, class (es), clinics, camps, private lessons, missed and/or cancelled due to holidays, vacation, illness, weather related or any other reason.



PHOTO RELEASE: I am aware that individual and group publicity photos and videos are taken from time to time and in consideration of my child(ren)s participation, I grant permission for my child(ren)s likeness to be used in Flipping Frogs publicity, media usage including but not limited to, social media, training tools and videos, website advancement and/or advertising.



PAYMENT POLICY: Payment for each semester is due prior to the beginning of each semester. Payment for an upcoming session guarantees your child's placement in our program. Every Summer session is 4 weeks long and session payments are due in full. Once payment has been made, there are no refunds for sessions. Payment shows your commitment to the entire session allowing us to effectively schedule coaches for your child's class. 



ILLNESS: Children must be free of fever, without the aid of medication, for a minimum of 24 hours before participation in class. As with any child's program, keeping the children and staff healthy keeps us all happy. If your child has been sick in the past 24 hours, please do not bring them to class. If your child has had a fever, yellow/green mucus from his/her nose, vomited or had diarrhea in the past 24 hours, then they need to stay away from other children. 


I have read and understand this ASSUMPTION OF RISK and WAIVER OF RELEASE OF LIABILITY and PHOTO RELEASE and MEDICAL AUTHORIZATION and PAYMENT POLICY and RESPONSIBILITIES and my signature below indicates my voluntary agreement with the terms set forth above. 

November 6, 2024


RELEASE OF RESPONSIBILITY

I release my child from their designated DAYCARE/PRESCHOOL facility care to FLIPPING FROGS personnel during programs class times. 

November 6, 2024

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
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*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
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 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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