XAG Fun Zone Participant Waiver


I give permission for my child to participate in a Xtreme Altitude birthday party.  I fully understand that gymnastics involves risks of serious bodily injury, including permanent disability, paralysis and death, which may be caused by their own actions or inactions, those of others participating in the event, the conditions in which the event takes place, or the negligence of the “releasees” 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 the minor’s participation in any activities at Xtreme Altitude Gymnastics, Inc.  I believe the minor to be physically able and qualified to participate in the activity listed on this registration form.

I hereby release, discharge, covenant not to sue Xtreme Altitude Gymnastics, Inc., and AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS each of its respective administrators, directors, agents, officers, and employees, other participants, and, if applicable, owners and lessors of premises on which the Activity takes place, (each considered one of the “RELEASEES” 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 “releasees” or otherwise, including negligent rescue operations and future agree that if, despite this release, waiver of liability, and assumption of risk I, the minor or anyone on the minor’s behalf, makes a claim against any of the Releasees, I will indemnify, save, and hold harmless each of the Releasees from any loss, liability, damage, or cost, which any may incur as the result of such claim.

This is to certify that I, as parent/guardian, with legal responsibility for this participant, have read and explained the provisions in this waiver/release to my child/ward including the risks of presence and participation and his/her personal responsibilities for adhering to the rules and regulations for protection against communicable diseases. Furthermore, my child/ward understands and accepts these risks and responsibilities. I for myself, my spouse, and child/ward do consent and agree to his/her release provided above for all the Releasees and myself, my spouse, and child/ward do release and agree to indemnify and hold harmless the Releasees for any and all liabilities incident to my minor child’s/ward’s presence or participation in these activities as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent provided by law.

In consideration of allowing my child/ward to participate on behalf of Xtreme Altitude Gymnastics and any related events and activities, the undersigned acknowledges, appreciates, and agrees that:  Participation includes possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19. While following recommendations from the CDC and state/local health departments and personal discipline may reduce this risk, the risk of serious illness and death does exist; and,

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 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 if any portion of this agreement is held to be invalid the balance, notwithstanding, shall continue in full force and effect.


By typing your name, you acknowledge and agree to all Birthday Party Policies listed above.


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Signature Certificate
Document name: XAG Fun Zone Participant Waiver
lock iconUnique Document ID: e086280daadbccabae939f225b9cdf423ff38509
Timestamp Audit
November 3, 2020 3:39 pm MSTXAG Fun Zone Participant Waiver Uploaded by Ana Bogoger - info@xtremealtitude.com IP