General Liability Release Form
General Gym Policies
MEDICAL AUTHORIZATION AND FINANCIAL RESPONSIBILITY
In the event of an accident or emergency, I authorize Mountain West Gymnastics Academy, Inc. to request emergency services to provide medical treatment and transportation for my child(ren) to a hospital and I release and hold harmless Mountain West Gymnastics Academy, Inc. and its owners, officers, agents, administrators, representatives, employees, volunteers, other participants, and all others in their execution of this matter. Additionally, I hereby acknowledge and agree that I am financially responsible for the cost of all medical treatment and transportation and other related expenses provided to my child(ren) as a result of any injuries sustained while participating in the Activities at or for Mountain West Gymnastics Academy, Inc. I further certify that my child(ren) are covered by a medical insurance policy.
I HAVE CAREFULLY READ THIS MEDICAL AUTHORIZATION AND FINANCIAL RESPONSIBILITY AND FULLY UNDERSTAND ITS CONTENTS. I HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT. BY AFFIXING MY SIGNATURE (DIGITALLY OR OTHERWISE) BELOW, I REPRESENT AND WARRANT THAT I HAVE FULL AUTHORITY TO DO SO.
ASSUMPTION OF RISK AND RELEASE OF LIABILITY AGREEMENT
As legal guardian of the above named children , hereafter, child(ren), I acknowledge and understand that by enrolling my child(ren) at Mountain West Gymnastics Academy, Inc., my child(ren) will participate in physical activity including, but not limited to, gymnastics, tumbling, trampoline, dance, and cheerleading (the “Activity” or “Activities”), by its very nature, carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. Some Activities require quick movements involving speed, change of direction, height, and motion. Other Activities involve sustained physical exertion which places stress on the cardiovascular system. The specific risks vary from one Activity to another, but in each Activity the risks include, but are not limited to: minor injuries such as scratches, bruises, and sprains; major injuries such as loss of sight, joint or back injuries, broken bones, contusions, concussions, and heart attacks; and catastrophic injuries including paralysis, stroke, and death.
I understand the demands of the Activities and acknowledge that my child(ren)’s physical condition and skill level permits my child(ren) to participate in the Activities. I am aware of the type and severity of potential injuries resulting from my child(ren)’s participation in the Activities. Being fully aware of these dangers, I voluntarily consent and allow my child(res) to participate in any and all Mountain West Gymnastics Academy, Inc., classes, programs, clinics, camps, and Activities and I VOLUNTARILY ASSUME ALL RISKS associated with or arising from that participation.
IN CONSIDERATION FOR ALLOWING MY CHILD(REN) TO USE THESE FACILITIES AND PARTICIPATE IN THE ACTIVITIES, I, ON MY OWN BEHALF AND ON BEHALF OF MY CHILD(REN) AND OUR RESPECTIVE HEIRS, ADMINISTRATORS, EXECUTORS AND SUCCESSORS, I HEREBY RELEASE, HOLD HARMLESS, AND COVENANT NOT TO SUE MOUNTAIN WEST GYMNASTICS ACADEMY, INC., ITS RESPECTIVE OWNERS, OFFICERS, AGENTS, ADMINISTRATORS, REPRESENTATIVES, EMPLOYEES, VOLUNTEERS, OTHER PARTICIPANTS, AND ALL OTHERS WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES, INCLUDING, WITHOUT LIMITATION THOSE DAMAGES OR INJURIES RESULTING FROM ACTS OF NEGLIGENCE, SUFFERED BY MY CHILD(REN) AND ARISING FROM MY CHILD(REN)’S PARTICIPATION IN THE ACTIVITES.
I HAVE CAREFULLY READ THIS ASSUMPTION OF RISK AND RELEASE OF LIABILITY AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT. BY AFFIXING MY SIGNATURE (DIGITALLY OR OTHERWISE) BELOW, I REPRESENT AND WARRANT THAT I HAVE FULL AUTHORITY TO DO SO.