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THE SK8 COACH LLC.

Registration Form / Waiver & Release

Before being able to participate (skateboard) in skate lessons, skate park tours, group lessons, and related events in any way with The Sk8 Coach skateboarding program the participant or participant's, parents or legal guardian must read, acknowledge, and agree to sign the following registration and release form.

Liability Waiver & Release

Participant release of liability Must read before signing

In consideration for being allowed to participate (skateboard) in any way with Matthew Suncin, as a part of the The Sk8 Coach Skateboarding program, its related events, activities, the undersigned acknowledges, appreciates, and agrees that:

I, The undersigned parent/person having legal custody/ guardianship of the above said minor, give permission for the minor to participate in The Sk8 Coach Skateboarding Program. The minor is physically able to participate in all activities as described in the announcement for the program. In consideration of said minor being permitted to enter any and all tour destinations/ transportation as well as the use of facilities and/or equipment, or participation in the tour program, I, on behalf of myself (as parent, guardian, coach, aid, spectator, or participant) hereby:

1. Acknowledge that I have read this document, I have inspected the tour transportation and equipment, I accept them as being safe and reasonably suited for the purposes intended I voluntarily sign this document.

2. Release The Sk8 Coach Skateboarding Program, its directors, officers, employees, agents, representatives and volunteers (collectively "releases") from all liability to me for any loss or damages to property or injury or death to person, whether caused by Releases or otherwise and while such minor is in attendance of The Sk8 Coach Skateboarding Program.

3. I agree not to sue Releases for any loss, damage, injury, or death described above and I will indemnify and hold harmless Releases and each of them from any loss, liability or damage or cost they may incur due to said minors presence in attendance of The Sk8 Coach Skateboarding Program, whether caused by the negligence of Releases or otherwise.

4. I assume full responsibility for, and risk of, bodily injury, death or property damage due to the negligence of releases or otherwise.

5. I do hereby authorize The Sk8 Coach Skateboarding Program as agent for the undersigned, to consent with respect to said minor, to any x-ray examination, anesthetic, medical, dental, or surgical diagnosis or treatment, and hospital care which is deemed advisable by and is to be rendered under general or special supervision of, any physician and surgeon licensed under the provisions of the California Medical Practice Act on the medical staff of any hospital, whether such diagnosis or treatment is rendered at the office of the physical or the hospital, I understand that The Sk8 Coach Skateboarding Program is not responsible for any costs incurred for medical care. 

6. I understand that my child will be required to follow instructions and abide by reasonable safety procedures. Additionally, my child agrees to wear or use all required or recommended safety equipment as instructed. I expressly assume on behalf of my child all risk of injury, including death, in the event that my child fails or refuses to wear or use all required or recommended safety equipment. I understand that The Sk8 Coach Skateboarding Program Staff reserves the right to refuse to allow my child to participate in part or all of the activities if my child is determined to be incapable of participating safely. All students will be required to wear a helmet, elbow and knee pads at all times well under the supervision of The Sk8 Coach Skateboarding Program staff. I have read, understood, and accepted the terms and conditions stated herein and acknowledge that this agreement shall be effective and binding on my child and me during the entire period of participation in the activity. 

7. I give The Sk8 Coach Skateboarding Program permission to use any picture of likeness of me or a picture or likeness of my children in The Sk8 Coach Skateboarding Program’s general publicity and campaign materials.

I intend this document to be as broad and inclusive as permitted by the laws of the State of California. I HAVE READ AND UNDERSTOOD THIS AGREEMENT, AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY OR HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS AND ASSIGNS MAY HAVE AGAINST THE RELEASEE’S.

November 23, 2024

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information

Age:
Skateboarding Experience:
Beginner
Intermediate
Advanced
Does your child have any Medical conditions we should be aware of?*
No
Yes

If yes, please explain:
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

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

Age:
Skateboarding Experience:
Beginner
Intermediate
Advanced
Does your child have any Medical conditions we should be aware of?*
No
Yes

If yes, please explain:
Third Participant's Name

First Name*

Middle Name

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

Age:
Skateboarding Experience:
Beginner
Intermediate
Advanced
Does your child have any Medical conditions we should be aware of?*
No
Yes

If yes, please explain:
Fourth Participant's Name

First Name*

Middle Name

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

Age:
Skateboarding Experience:
Beginner
Intermediate
Advanced
Does your child have any Medical conditions we should be aware of?*
No
Yes

If yes, please explain:
Fifth Participant's Name

First Name*

Middle Name

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

Age:
Skateboarding Experience:
Beginner
Intermediate
Advanced
Does your child have any Medical conditions we should be aware of?*
No
Yes

If yes, please explain:
Sixth Participant's Name

First Name*

Middle Name

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

Age:
Skateboarding Experience:
Beginner
Intermediate
Advanced
Does your child have any Medical conditions we should be aware of?*
No
Yes

If yes, please explain:
Seventh Participant's Name

First Name*

Middle Name

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

Age:
Skateboarding Experience:
Beginner
Intermediate
Advanced
Does your child have any Medical conditions we should be aware of?*
No
Yes

If yes, please explain:
Eighth Participant's Name

First Name*

Middle Name

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

Age:
Skateboarding Experience:
Beginner
Intermediate
Advanced
Does your child have any Medical conditions we should be aware of?*
No
Yes

If yes, please explain:
Ninth Participant's Name

First Name*

Middle Name

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

Age:
Skateboarding Experience:
Beginner
Intermediate
Advanced
Does your child have any Medical conditions we should be aware of?*
No
Yes

If yes, please explain:
Tenth Participant's Name

First Name*

Middle Name

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

Age:
Skateboarding Experience:
Beginner
Intermediate
Advanced
Does your child have any Medical conditions we should be aware of?*
No
Yes

If yes, please explain:
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
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*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Age:
Skateboarding Experience:
Beginner
Intermediate
Advanced
Does your child have any Medical conditions we should be aware of?*
No
Yes

If yes, please explain:
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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