RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT  ("AGREEMENT")
A Fully Complete and Signed Agreement is a Requirement of Our Insurance Carrier Before any Participation.

Please note that this digital waiver differs slightly from our paper copy waiver, and only one student may be registered at a time. (Example: If you have 3 children in classes, please complete 3 waivers, one for each child.)

If you are returning to Flips and have already filled out a waiver, please exit this form, and find the "Returning Families" form on the site.

Thank You!
Sign in to Google to save your progress. Learn more
PARTICIPATION
In consideration of participating in team, class, or special events at Flips4All Gymnastics, I represent that I understand the nature of these activities and that I am qualified, in good health, and in proper physical condition to participate in such activity. I acknowledge that if I believe any conditions are unsafe, I will immediately discontinue participation in the activity.I fully understand this activity involves risks of serious bodily injury, including permanent disability, paralysis, and death, which may be caused by my own actions, or inaction's, those of others those of others participating in the Activities or Events, the conditions on which the Events or Activities take place, or the negligence of the participant(s) named below; and that there may be other risks either unknown to me or not readily foreseeable at this time and I fully accept and assume all such risks and responsibility for losses, cost, and damages I incur as a result of my participation in the Activity or Event.
RELEASE
I hereby release, discharge, and covenant not to sue Flips4All LLC, its respective administrators, directors, agents, offices, volunteers, and employees, other participants, any sponsors, advertisers, and if applicable, owners and lessors or premises on which the activity takes place, (each considered one of the "releases" 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 operation and future agree that if, despite this release, waiver or liability, and assumption of risk I, or anyone on my behalf, makes a claim against any of the Releasers, I will indemnity, save, and hold harmless each of the Releasees from any loss, liability, damage, or cost which may incur as the result of such claim.
AGREEMENT
I have read the RELEASE AND WAIVER OR LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY 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 to be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that is any portion of this agreement is held to be invalid, the balance not withstanding, shall continue in full force and effect.
PARENTAL CONSENT
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 RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT, understand that I have given up substantial rights by signing it and have signed freely and without any inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extent 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.
ADDITIONALLY...
I understand and agree to the following RULES: I will read the posted rules and understand that ADULTS ARE NOT ALLOWED ON EQUIPMENT and that Minor participants are only allowed on equipment when staff are present and have given their permission for the child to do so. I will behave in a manner that is respectful of facilities, staff and participants of all ages, and understand  that my children, both participants and siblings, are expected to behave in like manner when at Flips4All.
PARENT/ ADULT RESPONSIBILITY TO SUPERVISE
When I visit Flips4All, or any activity involving parental presence or participation, I understand and accept that responsibility and all associated liability of constantly supervising, controlling and restricting activities as necessary to assure safety of the children I bring, and myself. I understand that Flips4All has a tremendous variety of surfaces, mats, and specialized equipment, and accept the heightened risk of injury. I will not use or allow use of any equipment that I do not fully understand.

I agree to promptly pick up my child after any activity.
INSURANCE AND MEDICAL CARE
I Understand that injuries occur, and that Flips4All LLC does carry medical insurance for participants. I authorize and desire medical transport and care for myself or my child, and accept responsibility for all associated expenses. These agreements, waivers, and authorizations will remain valid and in force as long as and whenever my child, myself, or any family member participates in any activity at or with Flips4All.
AGREEMENT TO PAY
There are no refunds after the 1st (first) day of classes, and no credits or guaranteed make-ups for missed or cancelled activities doe to inclement weather. Class tuition is due by the first day of class for each new session. Private lesson tuition is due by the 1st (first) day of each month. There is a $10 late fee if full payment is received more than one week after the particular session due date.
PHOTOGRAPHS AND STATEMENTS
I further grant the Released the right to photograph and/ or videotape me and/or my child or ward and further to display, use and/or otherwise exploit my and/or my child or ward's name, face, likeness, voice, and appearance forever and throughout the world, in all media, whether now known or hereafter devised. This includes all media without limitation.
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy