Participants Name (required)
Emergency Contact Relationship
Emergency Contact Phone
Realis Gymnastics Academy is committed to conducting its activities in the safest manner possible. We hold the safety of the participants in the highest possible regard. Parents must recognize however that there is an inherent risk of injury when choosing to participate in recreational activities. Realis Gymnastics Academy continually strives to reduce such risks and insists that all participants follow safety rules and instructions, which have been designed to protect the participant’s safety.
RELEASE OF LIABILITY WAIVER:
WARNING! CATASTROPHIC INJURY, PARALYSIS OR EVEN DEATH CAN RESULT FROM THE IMPROPER CONDUCT OF THE ACTIVITY.
In consideration of Realis Gymnastics Academy accepting myself or my child into participation and/or training in gymnastics, which activity I hereby acknowledge involves greater than normal risk of injury, I agree, for myself or as my child's parent/guardian to assume responsibility for all risks, cost, or losses sustained by me, my child, or my child's family in connection with participation in gymnastics classes, programs, lessons, meets, birthday parties, open gyms, field trips or any other activities connected with Realis Gymnastics Academy.
I give my permission to Realis Gymnastics Academy and/or appropriate medical facility to make whatever emergency (first aid, disaster evacuation, etc.) measures as judged necessary for the care and protection of me or my child while under the supervision of Realis Gymnastics Academy.
In case of an emergency, I understand that I or my child will be transported to an appropriate medical facility by the local emergency unit for treatment if the local emergency resources deem it necessary. Transportation will be at my own expense.
It is understood that in some medical situations, the staff will need to contact the local emergency resource before the parent, physician and/or other acting on behalf of the parent or family can be reached.
I hereby COVENANT NOT TO SUE and FOREVER RELEASE this facility, affiliated and partner companies and organizations, property owners and lessors, staff, contractors, subcontractors, teachers, coaches, owners, directors and other members involved in this facility's program(s), from all liability and for any and all damages and injuries suffered by my student(s) during instruction, supervision, and/or control during any and all classes or extra activities.
CONSENT TO PHOTOGRAPH AND MEDIA REALEASE:
I understand that my child's photograph or video may be taken during the course of class instruction, during a special event at Realis Gymnastics Academy or at a function sanctioned by Realis Gymnastics Academy. I hereby grant permission to Realis Gymnastics Academy to use my child's photograph or likeness in any publicity or promotional publications (e.g., web site, newspaper ads, bulletin boards, newsletters, programs, brochures, public broadcasting releases, etc.) and to allow the news media to film and/or photograph programs and activities for broadcast purposes.
I have read and understand this "Release of Liability Waiver" and "Consent to Photograph and Media Release" and I voluntarily affix my name in agreement.
Participant Signature (if participant is 18 years or older)