Waiver

Is the participant at least 18 years of age?*

Yes
No

Membership*

Member
Non-Member

Type of Waiver*

Programs, Birthdays, Open Gym
Parents' Night Out

Parent or Guardian Name*

First Last

Participant's Name*

First Last

Participant's Date of Birth (MM/DD/YY)*

Phone*

Email*

Allergies, Medications, Special Conditions:

Please tell us anything else we may need to know to keep your child comfortable.

I authorize participation in the following activities.*

Classes
Open Gym
Birthday Parties
Camps & Clinics

Tumbling, Cheerleading, Preschool Programs and Parkour programs are included as curriculum in the activities listed.

Parent Consent to Participate*

I agree to the participation waiver.

Release of Liability:
Participant hereby fully and forever releases, discharges, holds harmless and agrees to indemnify TumbLe-nasium, LLC from and against any and all liabilities, losses, damages, claims, demands, litigation, and judgments, present or future, known or unknown, foreseeable or unforeseeable, valid or invalid, direct or consequential, together with reasonable costs and attorney fees (collectively referred to herein as "Claims"), (i) which result, directly or indirectly, from bodily injury, illness, disability or paralysis (whether permanent, temporary, total or partial), death, or other harm to Participant, third parties, or Participant's property, or the property of third parties, and (ii) which are caused by or result, directly or indirectly, from Participant's attendance at and participation in the Activities, or otherwise. Such waiver, release, and indemnification applies to any Claims incurred during or in connection with, or otherwise caused by, arising from, resulting from, or connected to, any of the Activities and the conduct and management thereof by TumbLe-nasium, LLC., or any third party, including any risks or dangers referred to in assumption of risk paragraphs, above, whether such Claims result from the negligence of TumbLe-nasium, LLC. or from any other cause, to the fullest extent permitted by law.

Parent Consent to Participate*

I agree to the participation waiver.

Release of Liability:
Participant hereby fully and forever releases, discharges, holds harmless and agrees to indemnify TumbLe-nasium, LLC from and against any and all liabilities, losses, damages, claims, demands, litigation, and judgments, present or future, known or unknown, foreseeable or unforeseeable, valid or invalid, direct or consequential, together with reasonable costs and attorney fees (collectively referred to herein as "Claims"), (i) which result, directly or indirectly, from bodily injury, illness, disability or paralysis (whether permanent, temporary, total or partial), death, or other harm to Participant, third parties, or Participant's property, or the property of third parties, and (ii) which are caused by or result, directly or indirectly, from Participant's attendance at and participation in the Activities, or otherwise. Such waiver, release, and indemnification applies to any Claims incurred during or in connection with, or otherwise caused by, arising from, resulting from, or connected to, any of the Activities and the conduct and management thereof by TumbLe-nasium, LLC., or any third party, including any risks or dangers referred to in assumption of risk paragraphs, above, whether such Claims result from the negligence of TumbLe-nasium, LLC. or from any other cause, to the fullest extent permitted by law.

Signature*

Parent or Guardian's Signature*

PLEASE COMPLETE THE WAIVER BELOW