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Students entered below will be added to your family's account
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Camp Release
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By my signature below I acknowledge the following:
In the event I cannot be reached in an emergency, I hereby give permission to the physician selected by the AGA to hospitalize, secure proper treatment for, and to order injection, anesthesia, or surgery for the within named individual on this card.
I understand no accident or medical insurance is provided with this program.
The AGA would like to advise each camper to consult their physician before engaging in physical activity and especially all campers with known or suspected heart conditions.
I hereby give AGA, its legal representative, or those for whom it is acting, the absolute right and permission to take, copyright, use, and publish photographs in any and all media, for the purposes of the AGA art, advertising, education, or promotion, or for any other purpose consistent with the AGA mission. I agree that the photographs and media recordings become the exclusive property of AGA and I waive all rights thereto. I waive all rights to inspect and /or approve any digital or printed matter that may be used in conjunction with the photograph and the use to which it may be applied.
I've read the above and agree.
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Aerials Release
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READ CAREFULLY
WAIVER AND RELEASE OF LIABILITY
In consideration of Aerial Gymnastics furnishing coaching services and /or
equipment to enable me to participate in gymnastics, I agree as follows:
I fully understand and acknowledge that; (a) risks and dangers exist in my use of gymnastics equipment
and my participation in gymnastics activities; (b) my participation in such activities and/or use of such
equipment may result in my injury or illness including but not limited to bodily injury, disease strains,
fractures, partial and/or total paralysis, eye injury, blindness, heat stroke, heart attack, death, or other ailments
that could cause serious disability; (c) these risks and dangers may be caused by the negligence of the
owners, employees, officers or agents of Aerial Gymnastics and Family Fitness Center, the negligence of
the participants, the negligence of others, accidents, breaches of contract, the forces of nature, or other causes.
These risks and dangers may arise from foreseeable or unforeseeable causes; and (d) from my participation in
these activities and/or use of equipment, I hereby assume all risks and dangers and all responsibility for any
losses and/or damages, whether caused in whole or in part by the negligence or other conduct of the
owners, agents, officers, employees of Aerial Gymnastics and Family Fitness Center, or by any other
person.
I, on behalf of myself, my personal representatives, and my heirs, hereby voluntarily agree to
release, waive, discharge, hold harmless, defend, and indemnify Aerial Gymnastics and Family Fitness
Center and its owners, agents, officers, and employees from any and all claims, actions, or losses for bodily
injury, property damage, wrongful death, loss of services, or otherwise which may arise out of my use of
gymnastics equipment or my participation in gymnastics activities, I specifically understand that I am releasing,
discharging and waiving any claims or actions that I may have presently or in the future for the negligent
acts or other conduct by the owners, agents, officers, or employees of Aerial Gymnastics and Family
Fitness Center.
I HAVE READ THE ABOVE WAIVER AND RELEASE AND BY SIGNING IT AGREE IT IS MY INTENTION TO EXEMPT
AND RELIEVE AERIAL GYMNASTICS AND FITNESS CENTER FROM LIABILITY FOR PERSONAL INJURY,
PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY NEGLIGENCE OR ANY OTHER CAUSE.
I've read the above and agree.
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