I, the minor's parent and/or legal guardian, understand the nature of the above referenced activities and the Minor's experience and capabilities and believe the minor to be qualified to participate in such activity. I have read the policies brochure and agree to abide by its terms.
In consideration of participating in the sport events at SSB Kids! I represent that I understand the nature of this Activity and that I am qualified, in good health, and in proper physical 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 fully understand that this Activity involves risks of serious bodily injury, including permanent disability, paralysis and death, which may be caused by my own actions, or inactions, those of others participating in the event, the conditions in which the event takes place, or the negligence of the "releases" named below; and that there may be other risks either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, cost, and damages I incur as a result of my participation in the Activity.
I hereby release, discharge, and covenant not to sue SSB Kids!, its respective administrators, directors, agents, officers, volunteers, and employees, other participants, any sponsors, advertisers, and, if applicable, owners and leasers (lessons) of premises on which the Activity takes place, (each considered one of the "RELEASEES" herein) from all liability, claims, demands, losses, or damages, on my account caused or alleged to be caused in whole or in part by the negligence of the "releases" or otherwise, including negligent rescue operations; and I future agree that if, despite this release, waiver of liability, and assumption of risk I , or anyone on my behalf, makes a claim against any of the Releases, I will indemnify, save, and hold harmless each of the Releases from any loss, liability, damage, or cost which any may incur as the result of such claim.
I have read this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNIFY AGREEMENT, understand that I have given up substantial rights by signing it and have signed it freely and without any inducement or assurance of any nature and intend it be a complete and unconditional release of all liability to the greatest extend allowed by law and agree that if any portion of this agreement is held to be invalid the balance, notwithstanding, shall continue in full force and effect.
All staff at SSB Kids! Kids in Motion Academy are educated on concussion protocol through SSB Kids! I concur that I have read the concussion policy on the SSB Kids! website and acknowledge understanding of the severity of concussions. I agree to report to administration if my child shows signs of concussion. I also understand that my child will be removed from activity by staff for evaluation. In cases of severe head injury, the child will be transported by EMSA to the hospital for professional medical evaluation.
The undersigned gives permission for the SSB Kids! Inc. owners, officers, employees and /or agents to seek emergency medical treatment for the participants(s) in the event they are unable to immediately reach any parent or guardian. The undersigned also agrees that they themselves will be responsible for any financial debt incurred by said action.
Non-refundable, annual registration fees are due upon enrollment. Tuition payments are due the lst week of each month. No spot is guaranteed until payment has been received. Those paying after the 8th of the month will incur a $10.00 late fee. No child is permitted to participate on the third week until full payment is made. ABSOLUTELY NO REFUNDS! Please give the office a 20-day written notice if your child discontinues for any reason. Auto payments will be stopped for the following month only if written notice is given 20 days prior.
I give my permission for my child to be transported by an SSB Kids! vehicle for field trips or other places which are known to the parents.
I understand that my child's likeness may be used in SSB Kids! ads, promotional videos, website or other marketing material. These images will be used by SSB Kids! purposes only, and will not be sold or have any name identification associated with them.
Bank Draft Agreement:
I (We) hereby authorize, SSB Kids!, to initiate debit entries to my (our) checking
account indicated above, and the bank named above, to debit the same to such
account. I (we) furthermore agree the amount of my (our) monthly bill will be debited automatically out of my (our) bank account on the 1s business day of each month. If for any reason the debit is returned to SSB Kids!, I will be charged a $25.00 returned check fee and be liable for my monthly bill and any other fees that might accrue due to the returned item. SSB Kids! will continue to debit my account until I (we) give written notice to SSB Kids! to stop debiting my bank account. Written notice must be given 20 days in advance of the debit day (20 days before the 1st business day of the month) to ensure stop payment for the following month.
Credit/Debit Card Agreement:
By Signing this agreement, you have authorized SSB Kids to bill your credit card for your monthly dues (preauthorized check card or credit card) for a minimum of 1 month from the start date (here in after) referred to as "the term").
Your account will be billed on or shortly following the 1st of each month
A $25 service charge will be applied for each month your monthly dues are returned uncollectible in addition to your monthly dues. To cancel a membership, SSB Kids must be notified in writing through the completion of our standard Drop Form at the front office 20 days in advance. As a convenience to me, I authorize my bank to make payments to SSB Kids! I agree that treatment of such payment shall be the same as if it were signed personally by me.
I understand that I am in full control of my account and I may cancel my Electronic Funds Transfer(EFT) authorization by
completing a Drop Form (at least 20 business days to presentment date). I understand that EFT is not compulsory as an extension of credit.
I have read and fully understand the cancellation policy and billing procedure.
*Only memberships in good standing may be frozen or cancelled.
*SSB Kids! reserves the right to discontinue or change any service or pricing at any time.
*Verbal cancellation will never be accepted.
*It is the Buyer's responsibility to know whether this agreement is in good standing.
1. Rules and regulations: MEMBER AGREES TO FOLLOW SSB KIDS RULES. Violation of these rules may cause for suspension
or cancellation of membership.
2. Severability: If any part of this agreement shall be held invalid that part shall be deemed excluded from this contract and
the remainder of the contract shall remain in full force and effect.
3. Service provided: This membership includes use of facility for CLASSES only.
4. Jurisdiction: To the full extent permissible by law, for purpose of any dispute arising out of this agreement, all parties hereto agree to submit to the sole and exclusive jurisdiction of the State of Oklahoma and to the application of Oklahoma law.
5. Entire Agreement: The member and SSB Kids acknowledge that this agreement constitutes their entire agreement.
It cannot be amended except in written notice form executed by both parties.
6. Buyer's Right to Cancel: Cancellation under this agreement must be in writing via official Drop Form to SSB Kids.
If the buyer has executed any credit or lien agreement with SSB Kids, to pay for all or part of their services,
any such agreement executed by the buyer shall also be returned within 60 days after such cancellations.
ANY HOLDER OF THIS MEMBERSHIP AGREEMENT IS SUBJECT TO ALL CLAIMS AND DEFENSES WHICH THE DEBTOR COULD
ASSERT AGAINST THE SELLER OF GOODS OR SERVICE OBTAINED WITH THE PROCEEDS HEREOF. RECOVERY HEREUNDER BY
THE DEBTOR SHALL NOT EXCEED AMOUNTS PAID BY DEBTOR HEREUNDER.
I have read the attached comprehensive list of all membership plans offered for sale by SSB Kids, and the respective price of
each plan. I realize all the provided material will be honored by SSB Kids and understand my right to not sign if there are any
incomplete blanks, my right to cancel, and the SSB Kids refund policy. I further realize I must obey the rules of SSB Kids and that SSB Kids reserves the right to remove me from SSB Kids if my actions violate the rules of SSB Kids.
BY SIGNING BELOW, BUYER/BUYERS ACKNOWLEDGE THEY HAVE READ AND RECEIVED A COMPLETE COPY OF