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GROUP PARTICIPANT AGREEMENT, RELEASE AND ASSUMPTION OF RISK 

In consideration of the services of New Image Gymnastics of Farmingdale DBA Farmingdale Gymnastics Academy, their agents, owners, officers, volunteers, participants, personnel, and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as "FGA"), I hereby agree to release, indemnify, and discharge FGA, on behalf of myself, my spouse, my children, my parents, my heirs, assigns, personal representative and estate as follows:

1. I acknowledge that the groups participation in gymnastics birthday parties, gymnastics training and instruction, open gym activities entails known and unanticipated risks that could result in physical or emotional injury, paralysis, death, or damage to myself, to property, or to third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity.

The risks include, among other things: slips, trips, and falls; falling from equipment; collision with other participants, spectators, or objects; rope burns; pinches, scrapes, twists and jolts that could result in scratches, bruises, sprains, lacerations, fractures, concussions, or even more severe life threatening hazards; muscular soreness, tears, strains, sprains, dislocations, fractures and broken bones; cuts, bruises, and muscle soreness; foot, ankle, leg, wrist, arm and shoulder injuries; musculoskeletal injuries including head, neck, and back; eye injury or loss; being struck by other objects dislodged or thrown from above; the use and potential or actual failure of climbing ropes and equipment; the risk of falling off equipment; loose and/or damaged artificial holds; abrasions from the equipment, or the floor; equipment failure; climbing out of control or beyond one’s personal limits; injuries to internal organs; the negligence of other athletes, visitors, participants, or other persons who may be present; my own physical condition; and the risk of emotional and psychological injuries or physical damage associated with this activity. In any event, if you or your child is injured, any medical assistance will be at your own expense

Furthermore, FGA personnel have difficult jobs to perform. They seek safety, but they are not infallible. They might be unaware of a participant's fitness or abilities. They might misjudge the weather or other environmental conditions. They may give incomplete warnings or instructions, and the equipment being used might malfunction.

2. I expressly agree and promise to accept and assume all of the risks existing in this activity. The groups participation in this activity is purely voluntary, and they elect to participate in spite of the risks.

3. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless FGA from any and all claims, demands, or causes of action, which are in any way connected with the groups participation in this activity or their use of FGA's equipment or facilities, including any such claims which allege negligent acts or omissions of FGA.

4. Should FGA or anyone acting on their behalf, be required to incur attorney's fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs.

5. I certify that I have adequate insurance to cover any injury or damage my group may cause or suffer while participating, or else I agree to bear the costs of such injury or damage myself. I further certify that I am willing to assume the risk of any medical or physical condition and participant may have.

6. In the event that I or anyone from the group file a lawsuit against FGA, we agree to do so solely in the state of New York, and we further agree that the substantive law of that state shall apply in that action without regard to the conflict of law rules of that state. We agree that if any portion of this agreement is found to be void or unenforceable, the remaining document shall remain in full force and effect.

7. Image Release. Participant consents to be recorded, photographed, and videotaped related to the Event, and hereby irrevocably and perpetually authorizes any of the Released Parties to copyright, publish, reproduce, exhibit, transmit, broadcast, televise, digitize, display, otherwise use, and permit others to use (i) the Participant’s name, image, likeness, and voice, and (ii) all photographs, recordings, videotapes, audiovisual materials, writings, statements, and quotations of or by the Participant obtained related to the recording of the Event (collectively, the “Materials”), in any manner, form, or format whatsoever now or hereinafter created, including on the Internet, and for any lawful purpose, including, the advertising or promotion of the Released Parties and/or the Event without further consent from or payment to the Participant. The Participant understands that the Released Parties are under no obligation to use the Materials. Participant agrees that all of the Materials, and all films, audiotapes, videotapes, reproductions, media, plates, negatives, photocopies, and electronic and digital copies of the Materials are the sole property of the Released Parties and Participant further agrees not to contest the rights or authority granted to the Released Parties hereunder. The Participant hereby waives any right to inspect or approve the recordings, and modes of the use thereof as described above. Participant acknowledges and agrees that: (i) Participant shall not be entitled to any compensation for its appearance at the Event or subsequent use of its appearance in the Materials, (ii) Participant has and will refrain from any offensive or distasteful remarks or conduct and will conduct itself in a courteous and professional manner at all times during its participation at the Event and appearance in the Materials, and (iii) this Agreement is intended to be as broad and inclusive as permitted by applicable law.

By signing this document, I acknowledge that if anyone is hurt or property is damaged during their participation in this activity, I may be found by a court of law to have waived my right and participants right to maintain a lawsuit against FGA on the basis of any claim from which I have released them herein. I also agree that this document is valid for subsequent visits and participation at FGA.

I have had sufficient opportunity to read this en?re document. I have read and understood it, and I agree to be bound by its terms. 


Today's Date: May 18, 2024

First Participant's Name

First Name*

Middle Name

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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 Information

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First Participant's Signature*
Second Participant's Name

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Middle Name

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Second Participant's Date of Birth*
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Third Participant's Name

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Middle Name

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

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Fourth Participant's Name

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

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Fifth Participant's Name

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

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Sixth Participant's Name

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Sixth Participant's Information

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Seventh Participant's Name

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

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Eighth Participant's Name

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Ninth Participant's Name

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Tenth Participant's Name

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Parent or Guardian's Email Address

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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*
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 Information

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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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