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I understand that participation in any class, special event, activity, or camp at Kinetics Academy of Dance & Gymnastics involves physical movement and the use of equipment and facilities. I acknowledge that participation in and presence around these activities carries inherent risks, including but not limited to slips, falls, collisions, physical exertion, and equipment-related injuries.

This waiver applies to all participants and bystanders, including children, parents, guardians, spectators, and any other individuals present within the facility during the event, activity, or camp.

By signing below, I voluntarily assume all risks associated with participation in and/or presence at these activities. I hereby release, waive, and hold harmless Kinetics, its owners, instructors, staff, employees, volunteers, and affiliates from any and all claims, injuries, damages, or liabilities arising out of participation in or presence at the facility, whether occurring to myself, my child(ren), or any accompanying individuals.

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IMPORTANT INFORMATION REGARDING CONCUSSIONS. On January 1, 2012. AB 25, a new law on youth sports concussions took effect in California. If a player is suspected of sustaining a concussion or head injury during a game, the player shall be immediately removed from the game. Once a supervising employee determines that a player should be removed from a game based on a suspected or potential concussion or head injury, no other coach, parent or involved individual may overrule this determination. Players who have been removed from an activity because of a suspected or potential concussion or head injury, will not be allowed to resume any participation in the activity until he/she has been evaluated by a licensed health care provider and has received full medical clearance to resume participation. Signing this Agreement Form shall be considered a waiver of any claim for such injury or loss. Signing this Agreement Form authorizes Kinetics Academy of Dance to obtain medical treatment and services for the student when the parent(s) or legal guardian(s) are not present, and the parent(s) or legal guardian(s) agree to pay the fees and costs of such medical treatment and services. Signing this Agreement Form acknowledges that the player/parent(s) have received access to information concerning concussions and understands that if there is a question of a concussion, AB25 will be implemented.

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I grant permission to Kinetics to use any photographs and/or video recordings taken during this event for promotional, marketing, and educational purposes in both print, digital and social media. I understand that participants and bystanders may be included in these images and recordings. I waive any right to inspect or approve the finished product and acknowledge that no compensation will be provided for their use. Please speak to the office if you need an accommodation to this policy.