Waiver

Aerial Yoga & Fitness

Vancouver Elite Gymnastics Academy &

Virtuosity Performing Arts Studio

I release and hold harmless Vancouver Elite Gymnastics Academy and Virtuosity Performing Arts Studio, its owners and operators from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises or any premises under the control and supervision of Vancouver Elite Gymnastics Academy and Virtuosity Performing Arts Studio, its owners and operators or in route to or from any of said premises.

In consideration of participating in aerial fitness activities, I represent that I understand the nature of this activity and that I, or any minors I enroll are qualified, in good health, and in proper physical condition to participate in such activity. I acknowledge that if I believe event conditions are unsafe, I will immediately discontinue participation in the activity.

I fully understand that this activity involves risks of serious bodily injury, including permanent disability, paralysis and death, which may be caused by my own actions, or inaction, those of others participating in the event, the conditions in which the event takes place of the negligence of the releases named below: and that there may be other risks either not known to me or not readily foreseeable at this time: and I fully accept and assume all such risks and all responsibility for losses, cost, and damages I incur as a result of my participation in the activity.

I fully understand that Vancouver Elite Gymnastics Academy, L.L.C. (VEGA) and/Virtuosity Performing Arts Studio (VPAS) staff are not physicians or medical practitioners of any kids. With the foregoing in mind and in the event that any kind of injury or illness should occur to my child while VEGA/VPAS premises, I hereby authorize VEGA/VPAS to render first aid as deemed necessary in their discretion and/or to seek medical assistance, including calling 911 or otherwise arranging for the transport to an appropriate facility for treatment. Additionally, I hereby authorize and trained and licensed medical professional to administer emergency medical treatment to my child should injury or illness occurs in my absence. I understand that VEGA/VPAS will make every effort to promptly notify me of any such emergency.

I hereby authorize VEGA/VPAS to use photographs or video taken while participating in VEGA/VPAS classes and/or/activities in their marketing and training materials as well as on their websites.

I hereby acknowledge that VEGA/VPAS are not responsible for my personal belongings.

My signature below indicates the agreement for the above releases and hold harmless VEGA/VPAS, its owners and operators from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, injury including death, that may be sustained by the participate and/or the undersigned, while in or upon the premises or any premises under the control and supervision of VEGA/VPAS, its owners and operators or in route to or from any of said premises.

Particpant Name *
Particpant Name
Birthday
Birthday
Phone *
Phone
Name of Parent/Guardian if Participant is under 18
Name of Parent/Guardian if Participant is under 18