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Students entered below will be added to your family's account
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Assumption of Risk and Release of Liability
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In consideration of my participation and/or the participation of my child(ren)/ward(s), I understand that activities at or involving Allegiance Athletics always pose certain risks, including but not limited to death, serious injury, brain damage, permanent disability, and paralysis. I understand that these risks may be caused by my own actions or the negligence of Allegiance Athletics. I understand the risk of harm may be limited by all of the safety equipment and coaches, but never eliminated. I understand the nature of these activities and I am qualified, in good health, and in proper physical and psychological condition to participate in such activity. I acknowledge that if I believe event conditions are unsafe, I will immediately discontinue participation in the activity. I understand that there are inflatables in use, and I understand the risks associated with such. I understand that Allegiance Athletics has uneven and unstable surfaces. If I enter any area of Allegiance Athletics, I am entering at my own risk and I will watch for such surfaces. I understand that participation in Allegiance Athletics activities may leave me or my child(ren)/ward(s) vulnerable to the reckless actions of other participants who may not have complete control over their actions or knowledge of the risks involved and hereby agree to accept any and all inherent risks. I fully accept and assume all such risks and responsibilities incidental to such participation, including, but not limited to, risks set forth in this agreement and I, on behalf of myself, my child(ren)/ward(s), their heirs, executors, and administrators, release, forever discharge, indemnify, and hold any and all parties defined in this agreement harmless against any liabilities, claims, actions, damages, costs or expenses of any nature, arising out of or in any way connected with my or my child(ren)/ward(s) participation in any activities, including, but not limited to, attorney's fees and disbursements. I hereby agree to individually provide for all present and possible future medical expenses which may be incurred by myself or my child(ren)/ward(s) as a result of any injury sustained while participating at, for, or with Allegiance Athletics. I hereby voluntarily waive any and all claims resulting from ordinary negligence, both present and future, that may be made by me, my family, estate, heirs or assigns. I hereby discharge, release, and covenant not to sue Allegiance Athletics, Allegiance Athletics owners, officers, directors, administrators, volunteers, sponsors, employees, agents, representatives, successors, teachers, instructors, coaches, subsidiaries, and affiliates from any and all present and future claims resulting from ordinary negligence of Allegiance Athletics or others listed for property damage, personal injury or wrongful death, arising as a result of my engaging in or receiving instruction in activities wherever, whenever or however the same may occur. I sign this freely and without inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability.
I've read the above and agree.
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Policies
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Medical Emergencies I understand that in the case of a medical emergency, I or my child(ren)/ward(s) will be initially evaluated by an Allegiance Athletics staff member on site and will then be transported by an emergency response unit if deemed necessary by the evaluating staff. In the case of a medical emergency of a minor, after initial evaluation and contact of the emergency response team, the parents or guardians will be contacted, then, if there is no response by the parent or guardian, the emergency contact will be contacted. I understand that in any case, with or without consent of the parent/guardian, that it is determined the minor must be evaluated and/or transported by an emergency team, the actions deemed necessary by staff and the emergency response unit(s) will be carried out. In a medical emergency for an adult, the adult will first be evaluated by a staff member, from there the staff will either determine whether or not an emergency unit should be called. In this case, the emergency contact will be contacted. I understand that in the case of a medical emergency, I, the adult, must coincide with the staff's decisions and actions taken and will allow for transport by an emergency response unit if the staff deems it necessary. Payment and Drop Policies I understand that upon enrollment in a trial class I will be required to pay a ten dollar ($10.00) fee. I understand each participant is permitted one trial class per Allegiance Athletics program. I understand that, if I enroll in the class, this fee will be applied towards the first month's tuition. I understand that, if I do not sign up, or if I am absent for my trial class, this fee will be forfeited. By registering with Allegiance Athletics I understand and agree to the terms of the following monthly automatic billing system. I am required to have a viable credit or debit card on file. I will be billed on the 25th of every month for the following months payments. If I do not wish to be charged by the card on file, payment is due by the 24th of the month prior, with no exception. I understand that I will be charged a twenty dollar ($20.00) fee for all declined or late transactions. I am responsible for payment of three (3) consecutive billing cycles. After the completion of the third billing date, cancellation is possible by speaking with one of Allegiance Athletics office staff or management staff about canceling enrollment. I must submit notice of cancellation of enrollment by the fifteenth (15th) of the month prior to the month I wish to discontinue enrollment. If I wish to drop a class for the upcoming month and it is passed the 15th of the month prior, there will be a twenty dollar ($20.00) cancellation fee per class per participant, charged to the card on file or that must be paid in full by cash or check. Upon receival of drop notice, any and all associated fees will be charged to the card on file immediately. Private Lesson Policy Private lessons must be scheduled and confirmed with Allegiance Athletics office or management staff in order to be officially scheduled. I understand that in order to book a private lesson, I must have viable credit or debit card information saved on my online Allegiance Athletics Jackrabbit account and I am required to pay a 50% non-refundable deposit. I understand that if I cancel or reschedule more than twenty-four (24) hours in advance to my scheduled private lesson time, the 50% deposit will be applied to my account as a credit. I understand that if I cancel or reschedule the private lesson within twenty-four (24) hours of the scheduled private lesson time, the fifty percent (50%) deposit is forfeited. Refund Policy I understand that there is a no monetary refund policy at Allegiance Athletics. The party that signs this agreement holds all financial responsibility for payment of fees/charges to Allegiance Athletics. Make-Up Policy I understand that I am permitted one make-up class for classes missed per
I've read the above and agree.
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Other Questions/Comments: |
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Credit Card Verification: |
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Card Number: * |
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Name as it appears on card: * |
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Card Expiration Month: * |
Exp Year: *
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