Kong Academy Waiver
This form helps you sign our waiver and stay connected. :)
Email address *
Your answer
Where is your program being held?
Your answer
Participants name *
Your answer
Participants birth date DD/MM/YEAR *
Your answer
Legal guardian's full name *
Your answer
Additional Info
Your answer
1. I understand what Parkour is and what it entails. Parkour needs to be practiced with the utmost caution at all times. Parkour is physically demanding and involves: running, climbing, jumping, vaulting, and other demanding full body activities which can involve height, speed, and erratic surfaces. Parkour is a high-impact activity which requires concentration and the practitioner's awareness of their body and environment. *
Required
2. I recognize and accept that taking part in the Event(s) may involve a risk of bodily injury, partial and/or total disability and loss of life. Injuries may occur not only from my own actions, inactions, or negligence, but also from the actions, inactions, or negligence of others, the condition of the equipment, facilities, or areas where the Event(s) is performed, and/or the physically demanding nature of parkour. I, and/or my Parent or Guardian, assume full responsibility for my safety and actions at all times, including the actual participation of the Event(s), and/or at the Event(s) site, and/or on my own time. I, and/or my Parent or Guardian, accept responsibility for all potential risks and dangers associated with my participation in the Event(s). *
Required
3. I understand that I am responsible for my safety. I must practice good judgment at all times. If at any time I feel I cannot participate safely for any reason, either due to a physical circumstance, my own actions or of others, or any other reason, I must immediately stop participation and notify the staff. The same applies if I feel lightheaded, faint, weak, or in pain. As with any vigorous physical activity, I am conscious that I must take all necessary precautions, including but not limited to a consultation from my physician, prior to taking part in the Event(s). *
Required
4. I validate that I am in good health. I have no physical ailments that would prevent taking part in the Event(s) or put me at increased risk for injury. I acknowledge that all activities attempted at the Event(s) are done so at my own risk. Furthermore, I agree to use my personal medical insurance as a the sole medical coverage payment if an accident or injury occurs. I consent to emergency medical treatment if such care is required or recommended. Completely understanding all the risks involved with participation of this Event(s). *
Required
5. I hereby waive all claims or causes of action against KONG ACADEMY LLC, its employees, volunteers, administrators, directors, officers, agents, and other participants, along with any sponsors, advertisers, and if applicable, owners and/or lessors of the premises on which the Event(s) takes place (collectively and hereinafter “Releases”). I agree to indemnify and hold harmless Released from all claims, liability, demands, damages, or losses on my account, even if caused or alleged to be caused in whole or in part by the negligence of the Releasees or otherwise, and agree that if, despite this release, waiver of liability, and assumptions of risk I, or anyone on my behalf, makes a claim against any of the Releasees, I will indemnify, save and hold harmless each of the Releasees from any loss, liability, damage, litigation expense, attorney fees or costs they may incur as the result of such a claim. *
Required
6. I understand that KONG ACADEMY LLC occasionally takes photos and video of classes and events for use in newsletters, websites, YouTube Channel, Facebook, and other social media. KONG ACADEMY LLC will NEVER identify any individuals by name when publishing promotional material. KONG ACADEMY LLC will ALWAYS seek explicit permission to include names of students, and for any project that would include selling or licensing any student’s likeness. *
Required
7. I HAVE READ THIS WAIVER AND RELEASE OF LIABILITY, ASSUMPTION OF RISK AND HOLD HARMLESS AGREEMENT. I FULLY COMPREHEND ITS PROVISIONS, AND I AGREE TO GIVE UP SUBSTANTIAL RIGHTS BY SIGNING IT. I HAVE SIGNED THIS AGREEMENT VOLUNTARILY WITHOUT ANY PROVOCATION OR ASSURANCES, AND INTEND MY SIGNATURE BE ONE THAT COMPLETES AND UNCONDITIONALLY RELEASES ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW. *
Required
8. IF THE PARTICIPATOR IS UNDER THE AGE OF 18: I HEREBY CERTIFY THAT I AM THE LEGAL GUARDIAN / PARENT OF THE PARTICIPATOR, AND I HAVE DISCUSSED THE RISKS OUTLINED IN THIS DOCUMENT TO MY CHILD, AND EXPLAINED OUR MUTUAL RESPONSIBILITIES AS OUTLINED ABOVE. FURTHERMORE, I ACKNOWLEDGE THAT SIGNING BELOW DESIGNATES MY AGREEMENT TO ALL OF THE CONDITIONS STATED IN THIS DOCUMENT. *
Required
Electronic Signature *
(if 18 or older) or Legal guardian of minor being enrolled:
Required
Date of Signature *
MM
/
DD
/
YYYY
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