Birthday Party Waiver
Student 1: __________________________________________ M F DOB / /
Student 2: _________________________________________ M F DOB / /
Home ( ) __________________________________________
Alt Emergency Number ( ) _____________________________
Address ________________________________ City ________________ Postal____________
Email ________________________________________ Consent to Email: _________________
Parent Name: ____________________________________________
I am aware that Photos will be taken in the facility from time to time and that Futures cannot guarantee that your child will not be photographed.
RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT. By signing this document you will waive certain legal rights, including the right to sue. PLEASE READ CAREFULLY
Awareness and Assumption of Risk.- I am aware that severe injuries, including permanent paralysis or death can occur in sports or activities involving height or motion, those activities include but are not limited to gymnastics, tumbling, trampoline, martial arts, dance, cheerleading and swimming. In addition I recognize that swimming or any activity in or around water can result in brain damage or drowning. I am also aware that participation in day camps involves transportation to and from field trips and such transportation could cause injury or death in a vehicular accident. Being full aware of these dangers, I hereby give consent for my child(ren) to participate in any and all Futures Gymnastics Centre Programs, including Danceworks, Thunder Cheerleading, Kidzone and activities and I ACCEPT ALL RISKS associated with this participation. RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT- In consideration of Futures Gymnastics Centre Inc. accepting my application to participate in this activity, I agree to waive any and all claims that I may have in future against Futures Gymnastics Centre and others. I agree to release Futures Gymnastics Centre and others from any and all liability for any personal injury, death, property damage, expense and related loss, including loss of income that I or my next of kin may suffer as a result of my participation in this activity, due to any cause whatsoever, including negligence, breach of contract or breach of any statutory duty of care. I agree to hold harmless and indemnify Futures Gymnastics Centre Inc.and others from any and all liability for any damage to property of, or personal injury to, any third party, resulting from my participation in this activity. I agree that this agreement is binding on not only myself, but my next of kin, heirs, executors, administrators and assigns.
I also understand that by participating my child may have their photo taken and that these photos may be used in marketing, website etc., without remuneration. By providing my email address, I am agreeing to receive email communications from Futures.
I HAVE READ THIS AGREEMENT AND UNDERSTAND IT. I AM AWARE THAT BY SIGNING THIS DOCUMENT I AM WAIVING CERTAIN RIGHTS WHICH I OR MY NEXT OF KIN, HEIRS, EXECUTORS, ADMINISTRATORS AND ASSIGNS MAY HAVE AGAINST FUTURES GYMNASTICS CENTRE AND OTHERS.
Signed this ______________ day of _________________ 20_____.
Signature of Applicant___________________________________________________
Please Print Name Clearly_______________________________________________