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Waiver and Release of Liability
Autistic & Loved Sensory Gym Waiver and Release of Liability

Welcome to Autistic & Loved Sensory Gym (A&L Sensory Gym)! To ensure a safe, enjoyable, and inclusive environment for all participants, we require all users and guardians to carefully review and agree to the terms outlined in this waiver before engaging in any activities within our facility. 

By clicking the "Accept" button at the end of this waiver, you acknowledge and agree to the terms listed below.

1. Assumption of Risk

I understand that participation in activities at A&L Sensory Gym involves inherent risks, including but not limited to physical injury, illness, or damage to property. I voluntarily assume all risks associated with the use of the facility, equipment, and participation in activities. 

2. Health and Safety

I confirm that I, or my child(ren), are in good health and free from any medical conditions that could endanger ourselves or others while participating in gym activities. I will inform A&L Sensory Gym staff of any relevant medical conditions or allergies prior to participation. 

3. Responsibility for Supervision

I understand that parents and guardians are responsible for supervising their child(ren) at all times while on the premises. I agree to ensure compliance with all posted rules, guidelines, and staff instructions to maintain a safe environment for everyone.

4. Release of Liability

In consideration of being allowed to access A&L Sensory Gym, I release and discharge Autistic & Loved LLC, its owners, staff, and affiliates from any claims, liabilities, or demands arising from any injury, illness, or damage sustained during participation in activities or while on the premises. 

5. Indemnification

I agree to indemnify and hold harmless A&L Sensory Gym, its owners, staff, and affiliates against any claims or costs (including attorney fees) arising from my or my child(ren)’s participation in gym activities.

6. Media Consent (Optional)

I grant A&L Sensory Gym permission to photograph or video me or my child(ren) for promotional and marketing purposes, with the understanding that no personal identifying information will be shared.

7. Governing Law

This waiver is governed by the laws of the State of Iowa and shall remain valid for all visits to A&L Sensory Gym unless revoked in writing. 

Acknowledgment and Acceptance
By clicking "I Agree," I confirm that:
- I have read and understand the terms outlined in this waiver.
- I voluntarily agree to the conditions stated above.
- I acknowledge this waiver is binding for all visits to A&L Sensory Gym. 

I Agree

I have read and agree to the terms above * 

Today's Date: January 13, 2025

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*

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