Acknowledgement and Assumption of Risks
I understand that the Activity involves risks of serious bodily injury, including permanent disability, paralysis, and death, which may be caused by the gymnast's/ dancers actions or inactions, those of others participating in the Activity, the conditions in which the Activity takes place, the negligence of the "Release Parties" named below, or other causes. I further understand that there may be other risks either not known to me or not readily foreseeable at this time. I fully accept and assume all such risks and all responsibility for losses, cost and damages that may result from the Activity. I hereby give my approval of and consent to the gymnast's participation in the Activity. I assume all risks and hazards incidental to the Activity and to transportation to and from the Activity.
Representation of Ability to Participate
I understand the nature of the Activity, and I represent that the gymnast/ dancer is qualified in good health, and in proper physical condition to participate in the Activity. Should I ever believe that any of the above representations have become untrue, or if I should ever believe that the Activity is not safe or is no longer safe for the gymnast/ dancer, then it will be my responsibility immediately to discontinue the gymnast's/ dancer's participation in the Activity.
Release
I hereby release, acquit, covenant not to sue, and forever discharge Donna's Gym, Inc. DBA: South County Movement Center, its owners, officers, administrators, employees, agents, volunteers, sponsors, advertisers, coaches and supervisors, and the owners or lessors of any facilities within which the Activity is conducted, their respective agents and employees, and all other persons providing facilities or assisting in the conduct of the Activity and in the transportation of participants to and from the Activity (collectively the "Released Parties") of and from any and all actions, causes of action, claims, demands, liability, losses or damages of whatever name or nature including but not limited to those arising from or in any way related to the negligence of any of the Released Parties, that arise out of or are connected in any way to the gymnast's/ dancer's participation in the Activity and the transportation of the above named gymnast to and from the Activity (Collectively the "Released Claims").
Indemnification
I will defend, indemnify and hold harmless the Released Parties from (that is, to reimburse and be responsible for) any loss or damage, including but not limited to costs and reasonable attorney's fees (including the cost of any claim I might make or that might be made on my behalf or the gymnast's/ dancer's behalf that is released in this document), arising out of or connected in any way with any of the Released Claims.
I understand that parent's and/ or spectators are not permitted to actively participate on the gymnastics equipment except to aide their child in our Tumble Tot classes. Parent's/Spectators are allowed in the gym and dance rooms during visiting days only. All students will receive Safety/ Rules in the Gym form and/ or Dance Class Policies and agree to abide by all rules and conditions set forth herein and to accept the judgment of the program officials in this regard.
Consent to Treatment
I authorize Donna's Gym, Inc. DBA: South County Movement Center to provide to the participant through medical personnel of its choice, customary medical assistance, transportation, and emergency medical services should the gymnast/dancer require such assistance, transportation, or services as a result of injury or damage related to participation in the Activity. If the gymnast/dancer is a minor and a parent or guardian is not present, efforts will be made to contact a parent or guardian that are reasonable under the circumstances, but treatment will not be withheld if a parent or guardian cannot be reached.
I also affirm that I now have and will continue to provide proper hospitalization, health, and accident insurance coverage which I consider adequate for the participant's protection. This consent shall remain effective until one year from the date below unless sooner revoked in writing and delivered to Donna's Gym, Inc. DBA: South County Movement Center.
Medical Emergency
The undersigned gives permission to Donna's Gym, Inc. DBA: South County Movement Center, its owners and operators to seek medical treatment for the participant in the event they are not able to reach a parent or guardian. I hereby declare any physical/mental problems, restrictions, or condition and/or declare the participant to be in good physical and mental health. I request that our doctor/physician be called and that my child be transported to the nearest hospital unless otherwise instructed by said physician.
Payment Information
Tuition is due by the first of each month. If accounts are paid after the 15th of the month, there will be a $5.00 late fee applied to the account balance unless prior arrangements have been made.
ePayment Billing Date
I acknowledge that in the event that I am registered for the ePayments Program through the South County Movement Center Parent Portal, I will provide an Automated Billing Date/Option form the options provided (1st of the Month, 15th of the Month, Manual Payment). In the event that I do not provide an Automated Billing Date/Option, I authorize South County Movement Center to process my account for payment at the next Billing Date (1st of the Month or 15th of the Month) and adjust my Automated Billing Date from a Blank Value to the 1st of the Month.
In the event that I select the Manual Payment for Automated Billing Date/Option, I authorize South County Movement Center to process my account for payment on the last day of the calendar month if payment has not been issued.
COVID-19 Waiver
The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people.
Donnas Gym Inc. DBA: South County Movement Center ("SCMC") has put in place preventative measures to reduce the spread of COVID-19; however, SCMC cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further attending SCMC classes or events could increase your risk and your child((ren)'s risk of contracting COVID-19.
I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending classes or events at SCMC and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed or infected by COVID-19 may result from the action, omissions, or negligence of myself and others, including, but not limited to, SCMC employees, volunteers, and program participants and their families.
I voluntarily agree to assume all of the foregoing risks and accept sole responsibility of any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)'s attendance at SCMC or participation in SCMC programing ("Claims").
On my behalf, and on behalf of my child(ren), I hereby release, covenant not to sue, discharge, and hold harmless SCMC, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of SCMC, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any SCMC program.
