I hereby consent to participate in the programs offered by the Nissen Trampoline Academy.
(For students under 18 years old):
As the Parent or Legal Guardian of the student(s) who is(are) a minor, I hereby consent to that student(s) participating in the programs offered by Nissen Trampoline Academy, including but not limited to, trampolines class, competition, team, tumbling, birthday parties, recreational and/or instructional classes, clinics, related activities, non-gymnastics activities such as sports activity and conditioning activities (hereinafter referred to as the "Activity").
By the very nature of the activity, trampolining and tumbling entails known and unanticipated risks that could result in physical and emotional injury including serious injuries such as broken bones, torn ligaments, paralysis, and even death. I understand and accept that any activity involving motion, rotation, or height creates the possibility of serious injury. No matter how careful the student and instructor, no matter how many staff members are supervising the activity, no matter how many precautions, safety equipment or other safeguards are employed, and no matter how many times the skill may have been performed perfectly, the risk cannot be eliminated. Reduced, yes, but never eliminated. That risk is inherent in all sports at all times and is inherent in trampoline and tumbling activities as well.
I UNDERSTAND AND ACCEPT THAT RISK.
I understand that if I or my child have any risk concerns, I shall discuss them completely with the staff before I sign this agreement and before my/the minor's participation in the activity begins.
In partial consideration for using the Nissen Trampoline Academy and equipment, or for allowing my child(ren) to use the Nissen Trampoline Academy and equipment, I hereby forever release Nissen Trampoline Academy, its owners, employees, and instructors from all liability for any and all damage and injuries suffered by me, or my child(ren) while under the instruction, supervision, or control of Nissen Trampoline Academy, its owners, employees, or instructors.
I hereby agree to individually provide for me, or in the case where I am the parent or legal guardian of the aforementioned, I hereby agree to individually provide for my child(ren), the possible future medical expenses which may be incurred by me or my child(ren) as a result of any injury sustained while participating in the activities of Nissen Trampoline Academy, or under the direction and supervision of its owners, employees or instructors.
I agree that I have adequate insurance to cover any injury or damage I or the child(ren) may cause or suffer while participating, and in any event I agree to bear the costs of any such injury or damage.
I agree that the validity and enforceability of this agreement will be governed by the substantive laws of California, without regard to its conflict of law rules, and any suit or mediation must be brought and maintained exclusively in San Diego County, California. For myself and, if applicable, for the minor child(ren), I consent to the jurisdiction of those courts.
I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect. I have had sufficient opportunity to read this entire document. I have had the opportunity to ask questions about this document.
This agreement is intended to be effective and binding upon me, the minor participant(s), and upon our respective heirs, representatives, executors and administrators.
This Agreement will remain in full force and effect until and unless terminated or modified by the parties, in writing.
That acknowledgement of risk, waiver of liability, and indemnity agreement having been read thoroughly and understood completely, is agreed to voluntarily as to its content and intent.
In the event of an accident, I authorize emergency medical treatment for myself, or for my child(ren), in case of necessity. I hereby authorize Nissen Trampoline Academy as agent(s) for the undersigned to consent, in advance of any specific diagnosis, to any X-ray examination, anesthetic, medical or surgical diagnosis or treatment and hospital care which is deemed advisable by, and is to be rendered under the provisions of the Medical Practice Act.
I have read the above authorization for treatment and agree to allow me, or my child, to participate at Nissen Trampoline Academy.
To register for a class, payment must be received upon enrollment.
Automatic payment is deducted from my account approximately five days before the first of the month that classes begin. I am required to have a credit card or debit card on file with Nissen Trampoline Academy for automatic, recurring monthly payments.
A courtesy call will be made if my card is declined, however, a late fee of $25.00 will be assessed for that tuition.
There are no refunds for any student whose credit card has been charged or payment has been taken.
Upon enrollment, my credit card will be added to the automatic payment system. My card will be charged on the 25th day of each month. The student will be automatically enrolled into the next monthly session and charged the monthly fee unless I notify the business office by the 24th day of the preceding month (e.g. You wish to drop your child from the class for May, you must notify by April 24th.)
Notification must be given to the business office by calling 858-558-0495 or emailing to firstname.lastname@example.org.
If I choose to pay by cash/check, it must be received and posted by Nissen Trampoline Academy by the 25th of the preceding month of classes (e.g. Student is enrolled in May classes, payment must be received by April 25th). There is a $30 charge for any checks returned by the bank.
I understand that I am financially responsible for payment of all fees at Nissen Trampoline Academy for myself or my child(ren) including but not limited to tuition, competition fees, registration, uniforms, shoes, classes, private lessons, events, etc.
Non Refundable Annual Insurance/Membership Fee
All Nissen Trampoline Academy students pay an ANNUAL Insurance/Membership fee of $48.00 with discounts for additional siblings. The membership also provides for discounted rates on open gyms, birthday parties and more. This fee is non-refundable should I decide to withdraw from Nissen Trampoline Academy classes/programs at any time within the next 12 months from when this fee is paid. My membership fee will be billed each year on the month of original enrollment.
I grant to Nissen Trampoline Academy, its representatives and employees permission to use my likeness in a photograph, video, or other digital media ("photo") in any and all of its publications, including web-based publications, without payment or other consideration. I understand and agree that all photos will become the property of Nissen Trampoline Academy and will not be returned.
I hereby irrevocably authorize Nissen Trampoline Academy to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo.
I hereby hold harmless, release, and forever discharge Nissen Trampoline Academy from all claims, demands, and causes of action, which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.
I have read and understand the above photo release. I affirm that I am at least 18 years of age, or, if I am under 18 years of age, I have obtained the required consent of my parents /guardians.