ASSUMPTION OF RISK AND RELEASE OF LIABILITY
Read Carefully Before Signing

This assumption of Risk and Release of Liability (the “Release”) limits the rights of recovery for damages in case of accident. The Release is intended to provide a comprehensive assumption of risk, waiver, covenant not to sue, and release of liability in favor of Premier Gymnastics, Inc. (“Premier Gymnastics”). READ IT BEFORE SIGNING.

In partial consideration for allowing the student(s) identified below to participate in the activities and programs offered by Premier Gymnastics, I understand, acknowledge and agree that:

I am the parent or legal guardian of the student(s) listed below. I consent that this Release shall be effective for myself, the student(s) and our heirs, assigns, and next of kin.

I am aware that the activities and programs offered by Premier Gymnastics are dangerous and involve the risk of property damage and/or serious injury and/or death. These activities and programs include, but are not limited to, tumbling, trampoline, gymnastics, dance, martial arts, and other activities involving height and motion.

By execution of this Release, I ASSUME THE RISK for any damage, injuries, or death that I, or the student(s) listed below, may sustain as a result of participation in the activities and programs offered by Premier Gymnastics.

To the fullest extent allowed by law, I, for myself and the student(s) identified below, and on behalf of our heirs, assigns, personal representatives and next of kin. HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS Premier Gymnastics, its shareholders, directors, officers, agents, employees, successors and assigns (“Released Parties”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property associated with participation in, or observation of, the activities and programs offered by Premier Gymnastics. This Release is effective, whether caused by the negligence of the Released Parties or otherwise, for all property damage, injury and/or death sustained as a result of participation in the activities or programs offered by Premier Gymnastics.

This Release is governed by the laws of the State of Nebraska and is intended to be as broad and inclusive as is permitted by Nebraska law.

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I HAVE READ AND UNDERSTAND THE ABOVE RELEASE; I FULLY UNDERSTAND ITS TERMS; I UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY. *
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Child #3 First and Last Name
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Child #4 First and Last Name
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