PEGA WAIVER AND MEDICAL RELEASE FORM


 
 

 

PEAK ELITE GYMNASTICS ACADEMY WAIVER AND MEDICAL RELEASE FORM

The undersigned will be present at and participate in activities at PEAK Elite Gymnastics Academy.

Such activities may include, but without limitation, instruction, training and competition in the sport of

gymnastics, social and recreational activities.

The participant and their guardian AGREES TO ASSUME THE RISK AND RESPONSIBILITY AND TO WAIVE,

RELEASE AND TO INDEMNIFY PEAK Elite Gymnastics Academy and its employees, owners, directors,

officers, committees members, officials, volunteers, affiliates, sponsors, suppliers, and agents, and their

respective successors and assigns as follows:

1. ASSUMPTION OF RISK AND RESPONSIBILITY. A. Participant and their guardian recognizes,

understands, appreciates and acknowledges: (i) the risks and dangers of injury that may occur in the

course of being on the grounds of the PEAK Elite Gymnastics Academy and participating in the Activities

(including, for example, but not by way of limitation, activities involving height and rotation, skills and

techniques, and facilities, equipment, apparatus, mats, and pits unique to the sport of gymnastics and its

various disciplines); (ii) that my presence at the PEAK Elite Gymnastics Academy and/or my participation

in Activities may involve risk of bodily injury (including, for example, but not by way of limitation, injuries

to bones, joints, muscles and internal organs), illness, disability or paralysis (whether temporary,

permanent, total or partial), death, or other harm; and (iii) that Participant voluntarily engages in the

Activities with adequate prior knowledge of such risks and dangers. B. Participant voluntarily decides to

participate in the Activities, and agrees to and does assume all legal and financial responsibility for: (i)

any and all risks and dangers referred to in the preceding paragraph; (ii) any and all injuries, damages

and losses, whether to person or property, and whether physical, psychological, social or economic, that

Participant may in any manner and from whatever cause sustain in connection with attendance and

participation in the Activities, including such injury, damage or loss that may result from the negligence

of PEAK Elite Gymnastics Academy; and (iii) all treatment, hospitalization and other care rendered to

Participant in connection with any of the foregoing, including in the event of his/her injury, illness or

other emergent circumstance.

2. RELEASES AND INDEMNIFICATION. Participant hereby fully and forever releases, discharges, holds

harmless and agrees to indemnify PEAK Elite Gymnastics Academy from and against any and all

liabilities, losses, damages, claims, demands, litigation, and judgments, present or future, known or

unknown, foreseeable or unforeseeable, valid or invalid, direct or consequential, together with

reasonable costs and attorney fees (collectively referred to herein as “Claims”), (i) which result, directly

or indirectly, from bodily injury, illness, disability or paralysis (whether permanent, temporary, total or

partial), death, or other harm to Participant, third parties, or Participant’s property, or the property of

third parties, and (ii) which are caused by or result, directly or indirectly, from Participant’s attendance

at and participation in the Activities, or otherwise. Such waiver, release, and indemnification applies to

any Claims incurred during or in connection with, or otherwise caused by, arising from, resulting from,

or connected to, any of the Activities and the conduct and management thereof by PEAK Elite

Gymnastics Academy or any third party, including any risks or dangers referred to in paragraphs 1.A. and

1.B., above, whether such Claims result from the negligence of PEAK Elite Gymnastics Academy or from

any other cause, to the fullest extent permitted by law.

TERM: Any such revocation shall not in any manner affect the waiver, release of liability, and

indemnification given hereunder for any acts or occurrences prior to such receipt of said written notice

by PEAK Elite Gymnastics Academy or prior to termination of my participation.

PEAK ELITE GYMNASTICS ACADEMY WAIVER AND MEDICAL RELEASE FORM

I HAVE READ THIS DOCUMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP

SUBSTANTIAL RIGHTS BY SIGNING IT AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY

INDUCEMENT.

I HAVE READ, UNDERSTAND AND AGREE TO THE RULES OF PEAK ELITE GYMNASTICS ACADEMY.

Print Name of Participant(s)

1. _____________________________________________________

2. _____________________________________________________

3. _____________________________________________________

4. _____________________________________________________

5. _____________________________________________________

Date _________________

FOR PARTICIPANTS OF MINORITY AGE This is to certify that I/we, as parent(s)/legal guardians(s) with

legal responsibility for the Participant, do hereby consent and agree not only to his/her assumption of

risk, waiver, release and indemnification, but also for myself/ourselves, and my/our heirs, personal

representatives, administrators, successors and assigns, to waive, release and indemnify Gymnastics,

PEAK Elite Gymnastics Academy from any and all Claims incident to my/our child’s participation in the

Activities as stated above, even if arising from the negligence of PEAK Elite Gymnastics Academy or

otherwise, to the fullest extent permitted by law.

Print Name of Parent/Legal Guardian___________________________________ Date ______________

Signature of Parent/Legal Guardian ___________________________________________________________


Phone Number ___________________________________________________________


Email Address_____________________________________________________________