Registration
Co-ed Open Gym for students in 1st through 8th grade. $10 for members, $12 non-members. Register in advance or pay at time of event. Altius staff will process online registrations and charge the appropriate member or non-member fee. Participants must have a signed paper or digital waiver on file. No refunds given for no-shows.
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
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Family Information
First Name:* Last Name: *
Type*
Home Phone:* Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Name & Phone*
 
 
Students entered below will be added to your family's account
 
Questions/Options:
Participant name (first & last)
Participant age & birth date
 
Additional Information:
 
ALTIUS GYMNASTICS ACADEMY RELEASE AND WAIVER OF LIABILITY, A
I agree to the following:

IN CONSIDERATION of my being permitted to participate in any way in the activities, and/or otherwise being present, at Altius Gymnastics Academy, Inc. (“Altius Gymnastics”), located at 9670 S. Franklin Dr., Franklin, WI 53132, I AGREE TO THE FOLLOWING:

1. HEREBY acknowledge that THE ACTIVITIES AT ALTIUS GYMNASTICS ARE DANGEROUS AND INVOLVE THE RISK OF SERIOUS INJURY AND / OR DEATH AND / OR PROPERTY DAMAGE. THE ACTIVITIES AT ALTIUS GYMNASTICS INCLUDE, BUT ARE NOT LIMITED TO, GYMNASTICS, CHEERLEADING, COMPETITIONS, SOCIAL EVENTS, AND GENERAL ALTIUS GYMNASTICS ACTIVITIES (hereinafter the “ACTIVITIES”). Participation in many of the activities of Altius Gymnastics involves motion, rotation, and height in a unique environment and as such carries with it the risk of injury or death. Some of the risks include, but are not limited to, less serious injuries such as bruises, sprains or strains, and more serious injuries such as broken bones, dislocations, and torn muscles. The risks also include, but are not limited to, catastrophic injuries such as permanent paralysis or even death, which may be cause by landing or falling on the back, neck or head. Paralysis or death may be caused by an injury to the central nervous system or other vital organ.

I've read the above and agree.
 
2. HEREBY RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE Altius Gymnastics, including its directors, officers, agents, and employees, all for purposes herein collectively referred to as “Releasees”, FROM ALL LIABILITY, TO THE UNDERSIGNED FOR ANY AND ALL LOSS OR DAMAGE, AND ANY CLAIMS OR DEMANDS THEREFORE ON ACCOUNT OF INJURY TO MYSELF OR RESULTING IN DEATH ARISING OUT OF OR RELATED TO ANY ACTIVITIES, WHETHER CAUSED BY NEGLIGENCE OF THE RELEASEES OR OTHERS.
I've read the above and agree.
 
3. HEREBY AGREE TO INDEMNIFY AND SAVE HOLD HARMLESS the Releasees and each of them FROM ANY LOSS, LIABILITY, DAMAGE, OR COST they may incur arising out of or related to ANY ACTIVITIES WHETHER CAUSED BY THE NEGLIGENCE OF RELEASEES OR OTHERS.
I've read the above and agree.
 
4. HEREBY ASSUME FULL RESPONSIBILITY FOR ANY RISK OF BODILY INJURY, DEATH OR PROPERTY DAMAGE arising out of or related to ANY ACTIVITIES WHETHER CAUSED BY THE NEGLIGENCE OF RELEASEES OR OTHERS.
I've read the above and agree.
 
5. HEREBY agree that this Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement extends to all omissions or acts of negligence by the Releasees, including negligent rescue operations, and is intended to be as broad and inclusive as is permitted by the laws of Wisconsin and if any portion of the Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.
I've read the above and agree.
 
6. HEREBY ACKNOWLEDGE AND UNDERSTAND THAT I HAVE THE RIGHT AND HAVE BEEN GIVEN THE OPORTUNITY TO SEEK INDEPENDENT LEGAL ADVICE BEFORE SIGNING THIS AGREEMENT.
I've read the above and agree.
 
7. ACKNOWLEDGE AND UNDERSTAND THAT ALTIUS GYMNASTICS IS NOT THE ONLY FACILITY IN THE AREA OFFERING THE TYPES OF ACTIVITIES OFFERED BY ALTIUS GYMNASTICS.
I've read the above and agree.
 
8. ACKNOWLEDGE AND UNDERSTAND THAT I HAD THE OPPORTUNITY, BEFORE DECIDING TO SIGN THIS AGREEMENT, TO NEGOTIATE DIFFERENT RELEASE/WAIVER TERMS FOR A SUBSTANTIALLY HIGHER PARTICIPATION FEE. AS I HAVE DECIDED I DO NOT WANT TO PAY A SUBSTANTIALLY HIGHER FEE FOR THE ACTIVITIES, I HEREBY WAIVE THE RIGHT TO BARGAIN FOR DIFFERENT RELEASE/WAIVER TERMS.
I've read the above and agree.
 
I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS ON MY BEHALF BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT AN INDUCEMENT, ASSURANCE OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW. IF I AM MARRIED, I REPRESENT AND AGREE THAT I AM EXECUTING THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT ON BEHALF OF MY SPOUSE FOR THE BENEFIT OR MY MARRIAGE AND FAMILY. IF THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT IS BEING E-MAILED TO ALTIUS GYMNASTICS, THOSE NAMES ENTERED ONTO THIS FORM JUST BELOW ARE INTENDED AS LEGALLY BINDING SIGNATURES.
I've read the above and agree.
 
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