Intro

All ages under 18 MUST HAVE a liability waiver signed by their parent or legal guardian. EVERYONE MUST HAVE a waiver initialed and COMPLETELY filled out.

Agree and Acknowledge

I understand and acknowledge that if I proceed to register online and to sign the waiver electronically, that, under the Electronic Transactions Act, such electronic registration and electronically signed Waiver document will be valid and enforced in the same manner as a hand-signed document that exists in physical form and that a record or signature may not be denied legal effect or enforceability under law solely because it is in electronic form.

Basic Information

Use parent or guardian information if under 18

Contact Information

Use parent or guardian information if under 18

Camper Information
Minor Information

Enter the information for the children for which you are responsible for:



In consideration of Rock ’n Tumble LLC (DBA Gym-Kids) allowing the individual on the practice floor to participate in sports activity, class, camp, including non-gymnastics such as dance, cheerleading, swimming and playground activities (hereinafter referred to collectively as the “Activity”) I agree to be bound as follows: Acknowledgment and Assumption of Risks. I understand that the Activity involves risks of serious bodily injury, including permanent disability, paralysis, and death, which may be caused by my actions of inaction, those of others participating in the Activity, the conditions in which the Activity takes place, the negligence of the “Released Parties” named below or other causes. I further understand that there may be other risks and all responsibility for losses, cost and damages that may result from the Activity. I assume all risks and hazards incidental to the Activity and to transportation to and from the Activity. Representation of Ability to Participate. I understand the nature of the Activity, and I represent that IU am qualified, in good health, and in proper physical condition to participate in the Activity. Should I ever believe that any of the above representations have become untrue, or if I should ever believe that the Activity is not safe or is no longer safe, then it will be my responsibility immediately to discontinue my participation in the Activity. Release. I hereby release, acquit, covenant not to sue, and forever discharge Rock ’n Tumble, its owners, officers, administrators, employees, agents, volunteeers, sponsors, advertisers, coaches and supervisors, and the owners or lessors of any facilities within which the Activity is conducted, their respective agents and employees, and all other persons providing facilities or assisting in the conduct of the Activity and in the transportation of participants to and from the Activity (collectively the “Released Parties”) of and from any and all actions, causes of action, claims, demands, liability, losses or damages of whatever name or nature, including but not limited to those arising from or in any way related to the negligence of any of the Released Parties, that arise out of or are connected in any way to my participation in the Activity and the transportation of the above named individual to and from the Activity (collectively the “Released Claims”) Indemnification. I will defend, indemnify and hold harmless the Released Parties from (that is, to reimburse and be responsible for) any loss or damage, including but not limited to costs and reasonable attorney;s fees (including the cost of any claim I might make or that might be made on my behalf that is released in this document), arising out of or connected in any way with any of the Released Claims. I HAVE READ AND UNDERSTOOD THIS ACKNOWLEDGMENT AND ASSUMPTION OF RISKS, REPRESENTATION OF ABILITY TO PARTICIPATE, RELEASE, AND INDEMNIFICATION. I UNDERSTAND THAT BY SIGNING THIS DOCUMENT, I AM GIVING UP SUBSTANTIAL RIGHTS. I AM EXECUTING THIS DOCUMENT VOLUNTARILY AND WITH FULL KNOWLEDGE OF ITS SIGNIFICANCE.

Signature

By entering my name below and clicking the “Submit Waiver” button below, I indicate my acceptance and delivery of this waiver and release. I acknowledge that I have been given an opportunity to prevent or correct any error in connection with this waiver form. If I have submitted this waiver form in error, I will immediately notify you of the error, revoke my signature as instructed, and refrain from participating in any event or activity to which the waiver applies, as provided in Section 204(b) of the Uniform Electronic Transactions Act.