|
Students entered below will be added to your family's account
|
|
Omni Gym Waiver
(Show-Hide Details)
Omni Elite Athletix 704-684-0100 1426 Babbage Lane, Indian Trail omnieliteathletix.net 2015 Open Gym Waiver Release of Liability, Waiver of Liability, Assumption of full responsibility for All risk of bodily injury, death or damages. As a parent/ legal guardian I hereby consent to his/her participation in any or all activities for Open Gym held at the Omni Elite Athletix ( hereinafter “OEA”) including participation in tumbling, cheerleading, trampoline, and use of OEA's equipment. I understand these activities with OEA may result in injuries such as paralysis or even death from various causes, known and unknown, which include but are not limited to, the heights from the equipment and the body during certain movements, rotation of the body and movement of the body. I am fully aware that Open Gym activities are without instruction from OEA coaches, instructors or employees and my child is engaging in these activities under that understanding and at our own risk. I am fully aware of the inherent risk involved in tumbling, cheerleading, trampoline and any and all other activities with OEA, and possibility of injury or death from participating in these activities. Acting on my behalf, I agree to waive any and all rights, claims, damages, actions, cause of action or suit of any kind or nature whatsoever which I have or my child has against OEA or any agent, employee, representative or acting on their behalf and to indemnify, defend and hold harmless Angie DeHart and OEA any agent, employee, representative or other person acting on their behalf , from liability or ordinary negligent conduct which may occur. Should any part or parts of this agreement be null and void, the balance of the agreement shall remain valid and maintain its full force and effect.
I've read the above and agree.
|
|
|
Other Questions/Comments: |
|
|
Credit Card Verification: |
|
|
Name as it appears on card: * |
|
|
Card Expiration Month: * |
Exp Year: *
|
|
|
City:
|
State:
Zip:*
|