I hereby consent to his/her participation in gymnastics, tumbling and trampoline, dance, martial arts, ninja training, birthday parties, special events & activities including camps and any and all other programs offered by Frog Bridge Gymnastics, LLC. I understand that participation in gymnastics, trampoline, dance, martial arts, ninja training and any and all other activities at Frog Bridge Gymnastics, LLC may result in unavoidable injuries including, but not limited to, muscle or other soft tissue strains, sprains and tears, broken bones, and severe injuries such as paralysis, permanent disabilities, or even death from various causes, known and unknown, which include, but are not limited to, the heights of the equipment and the body during certain movements, rotation of the body, and movement of the body, in a unique environment. I am fully aware of the inherent risks involved in gymnastics, trampoline, dance, martial arts, ninja training, birthday parties, special events & camps, and any and all other activities offered by Frog Bridge Gymnastics, LLC and the possibility of injury from participating in the aforementioned activities. I fully understand that if I (or any of my family members) enter the gymnastics and/or ninja training areas to spectate or to assist my child during activities it is at our own risk of injury.
Release of Liability
In consideration for allowing my child to participate in activities offered by Frog Bridge Gymnastics, LLC., I, my heirs and assigns, next of kin, and all others acting on my behalf agree to waive any and all rights, claims, damages, actions, causes of action or suits of any kind or nature whatsoever which I have or my child has against Frog Bridge
Gymnastics, LLC, or any agent, employee, representative or other acting on their behalf including owners and tenants of U-JAM, LLC and to indemnify, defend and hold harmless Frog Bridge Bridge Gymnastics, LLC or any agent, employee, representative or other acting on their behalf including owners and tenants of U-JAM, LLC for any injuries suffered as a result of engaging in those activities offered by Frog Bridge Gymnastics, LLC. It is also my intent to release Frog Bridge Gymnastics, LLC. and any agent, employee, representative or other acting on their behalf including owners and tenants of U-JAM, LLC from liability for ordinary or gross negligent conduct that may occur in the future and agree not to sue. Should any part or parts of this agreement be held null and void, the gross balance of the gross agreement shall remain valid and maintain its full force and effect. This acknowledgment of risk and WAIVER OF LIABILITY has been read by me and understood completely and signed voluntarily. I am 18 years of age or older. By agreeing to this I understand that even though I am not taking gymnastics, and/or ninja lessons and will not be on the equipment I may injure myself being in the gym. I take full responsibility for my actions and agree to pay for any and all medical bills that might arise from an accident at Frog Bridge Gymnastics, LLC. This could include, but is not limited to stepping off uneven mats and twisting an ankle, broken bones, torn ligaments, spine injuries or even death. This includes outside the building in the parking lot and all surrounding areas.
I fully understand that the staff of Frog Bridge Gymnastics, LLC are not physicians or medical practitioners of any kind. With that in mind, I hereby release Frog Bridge Gymnastics, LLC to render first aid to my child in the event of any injury or illness, and if deemed necessary to call an ambulance which I agree to pay for. The undersigned gives permission to Frog Bridge Gymnastics, LLC, 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 agree that my child has had a physical exam within the past 12 months and is ready to participate in gymnastics activities. In case of an emergency I request that our doctor/physician be called and that my child be transported to the local hospital. As parent or legal guardian, I agree to provide health insurance for the minor child and/or guarantee payment of any medical expenses incurred as a result of training, performing, or participation in activities with Frog Bridge Gymnastics, LLC.
If your child has any medical conditions (mental or physical) or medications we should be aware of, including but not limited to; breathing problems, seizures, allergies, Downs Syndrome, dizzy spells, previous neck or spine injuries or conditions, broken bones, high blood pressure, diabetes, autism, epilepsy, heart condition etc.
***ALL ABOVE CONDITIONS REQUIRE A DOCTORS RELEASE claiming your child is fit enough to participate in "GYMNASTICS", "DANCE", "MARTIAL ARTS" or related activities.
NOTE: If my child requires an inhaler to be brought to class, I understand I am required to stay with him/her or get a doctor's release. Also, if your child is allergic to bees, I understand I am to stay with him/her during camp.
This check mark represents my signature. And by checking this box I agree to and fully understand all of the information in the "Agreement" above.