FLIPS GYMNASTICS MINOR RELEASE and RELEASE of LIABILITY WAIVER

Participants Name:__________________________________________________ Age:______

Address:______________________________City/State/Zip Code:______________________

E-mail:________________________________Phone Number:_________________________

Event Attending:          ____ Birthday Party       ____ Field Trip              ____Special Event

(please check one)                           ____ Trial Class ____Skill Session          ____Bring A Friend

Please read carefully and sign the waiver form.  Participation is not allowed until the waiver is signed. 

I, (we) despite all reasonable precautions implemented for safety, am (are) fully aware of and appreciate the risks, including the risk of catastrophic injury, paralysis and even death, as well as other damages and losses associated with participation in the programs or activities.  I (we) knowingly and willingly assume all such risks.  Consequently, I (we) hereby for myself, heirs, executors and administrators, do waive and release any and all rights and claims for damages against the owners, operators, coaches and members of Flips Gymnastics, LLC from personal injury or accident of any sort or nature suffered by me (us), the undersigned, by reason of participation or membership in classes, lessons or any programs or activities of Flips Gymnastics, LLC.

I, the minor’s parent and/or legal guardian, understand the nature of these activities and the minor’s experience and capabilities and believe the minor to be qualified, in good health, and in proper physical condition to participate in such activity.  I hereby release, discharge, covenant not to sue, and agree to indemnify and save and hold harmless each of the releases from all liability claims, demands, losses, or damages on the minor’s account caused or alleged to be caused, in whole or in part by the negligent rescue operations.  I further agree that if, despite this release, I, the minor, or anyone on the minor’s behalf makes a claim against any of the releases named above, I will indemnify, save, and hold harmless each of the releases from any litigation expenses, attorney fees, loss liability, damage, or cost that may incur as the result of any such claim. I am aware that individual and group publicity photos and videos are taken from time to time and in consideration for me or my child(ren)’s participation I hereby grant my permission for my child’s likeness to be used in Flips Gymnastics LLC publicity or advertising.

I/WE HAVE READ THE FOREGOING AND UNDERSTAND THAT ITS TERMS INCLUDE MY/OUR CONSENT AND MY/OUR AGREEMENT TO TAKE CERTAIN ACTIONS, TO ASSUME CERTAIN RESPONSIBILITIES AND TO RELEASE FLIPS FROM CERTAIN LIABILITIES. I/WE SIGN IT VOLUNTARILY WITH FULL KNOWLEDGE OF ITS SIGNIFICANCE.

Parent/Guardian Signature                     Relationship to Participant         Date                 Employee Initial