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NORTHWEST POWER ATHLETICS, LLC. LIABILITY RELEASE AND ACKNOWLEDGEMENT OF RISK


AS PARENT OR LEGAL GUARDIAN OF THE Minor ("MINOR") listed BELOW, I AGREE TO THE MINOR'S PARTICIPATION IN THE CHEERLEADING, DANCE AND OTHER ACTIVITIES AND SERVICES, INCLUDING, WITHOUT LIMITATION, TRAVEL TO AND FROM SUCH ACTIVITIES, COMPETITIONS, CONFERENCES, MEETINGS, AND OTHER EVENTS THAT MAY REQUIRE TRAVEL (COLLECTIVELY, THE "ACTIVITIES"), CONDUCTED AND PROVIDED BY NW POWER ATHLETICS, A WASHINGTON LIMITED LIABILITY COMPANY, AND THEIR RESPECTIVE AFFILIATED ENTITIES, OWNERS, AGENTS, OFFICERS, EMPLOYEES, REPRESENTATIVES, AND ALL OTHER PERSONS OR ENTITIES ACTING IN ANY CAPACITY ON THEIR BEHALF, I AGREE AS FOLLOWS:


1. I UNDERSTAND THAT CHEERLEADING CAMPS, COMPETITIONS, PRACTICES, CLINICS AND GYMNASTICS EQUIPMENT HAVE AN INHERENT DANGER IN PARTICIPATION AND THAT IN SPITE OF ALL PRECAUTIONS AND ACCIDENT PREVENTATIVES, INJURIES DO OCCUR. I FURTHER ACKNOWLEDGE THAT EACH PARTICIPANT HAS ELECTED TO PARTICIPATE IN NW POWER ATHLETICS AT THERE OWN RISK AND WILL NOT HOLD NW POWER ATHLETICS, EMPLOYEES AND/OR INSTRUCTORS LIABLE FOR ANY AND ALL INJURIES THAT MAY OCCUR WHILE PARTICIPATING IN THE SPORT.

2. I expressly agree and promise to accept and assume all of the risks in this activity. My participation in this activity is purely voluntary, no one is forcing me or my child to participate, and we elect to participate in spite of the risks. 

3. I hereby voluntarily release, forever discharge and agree to hold harmless and indemnify NW POWER ATHLETICS, LLC, from any and all liability, claims, demands, actions or right of action, which are related to, arise out of, or are in any way connected with me or my child's participation in this activity, including those allegedly attributable to the negligent acts or omission of NW POWER ATHLETICS, LLC. 

4. I CERTIFY THAT I OR MY CHILD HAS HEALTH, ACCIDENT AND LIABILITY INSURANCE TO COVER ANY BODILY INJURY OR PROPERTY DAMAGE THAT MAY BE CAUSED OR SUFFERED WHILE PARTICIPATING IN THIS EVENT, OR ELSE I AGREE TO BEAR THE COSTS OF SUCH INJURY OR DAMAGE TO MYSELF OR MY CHILD. I FURTHER CERTIFY THAT I OR MY CHILD HAVE NO MEDICAL CONDITION WHICH COULD INTERFERE WITH ME OR MY CHILD'S SAFETY IN THIS ACTIVITY, OR ELSE I AM WILLING TO ASSUME AND BEAR THE COST OF ALL RISKS THAT MAY BE CREATED, DIRECTLY OR INDIRECTLY, BY ANY SUCH CONDITION.

5. IN THE EVENT OF AN EMERGENCY NECESSITATING MEDICAL ATTENTION, I HEREBY CONSENT AND GIVE PERMISSION TO NW POWER ATHLETICS, LLC, ITS INSTRUCTORS AND ITS AGENTS TO MAKE SUCH DECISIONS AND TO PERFORM SUCH MEDICAL TREATMENT UPON SAID MINOR INJURIES WHICH MAY IN THEIR SOLE DISCRETION BE NECESSARY AND PROPER UNDER THE CIRCUMSTANCES. BY SIGNING THIS DOCUMENT, I ACKNOWLEDGE THAT IF ANYONE IS HURT OR PROPERTY IS DAMAGED DURING MY PARTICIPATION IN THIS ACTIVITY, I MAY BE FOUND BY A COURT OF LAW TO HAVE WAIVED MY RIGHT TO MAINTAIN A LAWSUIT AGAINST NW POWER ATHLETICS LLC, ITS OWNERS AND INSTRUCTORS ON THE BASIS OF MY CLAIM FROM WHICH I HAVE RELEASED THEM HEREIN. 

6. IF AN INJURY SHOULD OCCUR, IT IS THE RESPONSIBILITY OF THE PARENT TO SEEK PROFESSIONAL HELP. EACH ATHLETE MUST HAVE HIS/HER OWN MEDICAL INSURANCE. AFTER SEEING A PHYSICIAN, PLEASE PROVIDE NWPA WITH AN EVALUATION OF THE ATHLETE'S INJURY/ STATUS. A RELEASE FROM A DOCTOR IS REQUIRED IF A SERIOUS INJURY SHOULD OCCUR.

7. I AUTHORIZE ANY LICENSED PHYSICIAN TO RENDER NECESSARY EMERGENCY TREATMENT FOR INJURY OR SERIOUS ILLNESS WHEN NEITHER PARENT CAN BE REACHED AND WILL ASSUME ALL FINANCIAL RESPONSIBILITY FOR SUCH TREATMENT.

IN CONSIDERATION OF THE SERVICES OF NW POWER ATHLETICS, LLC, THEIR AGENTS, OWNERS, OFFICERS, EMPLOYEES, AND ALL OTHER PERSONS OR ENTITIES ACTING IN ANY CAPACITY ON THEIR BEHALF, I HEREBY AGREE TO RELEASE AND DISCHARGE NW POWER ATHLETICS LLC, ON BEHALF OF MYSELF, MY CHILDREN, MY PARENTS, MY HEIRS, ASSIGNS, PERSONAL REPRESENTATIVE AND ESTATE AS FOLLOWS: 


I (THE PARENT LISTED BELOE), HAVE HAD SUFFICIENT OPPORTUNITY TO READ THIS ENTIRE DOCUMENT. I HAVE READ COMPLETELY AND UNDERSTAND IT AND AGREE TO BE BOUND BY ITS TERMS.


I REPRESENT AND WARRANT THAT I AM AT LEAST EIGHTEEN (18) YEARS OF AGE AND HAVE THE FULL LEGAL CAPACITY TO EXECUTE THIS RELEASE OR, IF THE PARTICIPANT IS A MINOR CHILD, AND THAT I AM THE LEGAL PARENT OR GUARDIAN OF THE MINOR CHILD 

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
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*
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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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