Registered Student’s Name:__________________________ Class/Time_________________
Friend’s Name_____________________ Friend’s DOB:__________
Friend’s Parent Name_________________ Friend’s Parent Phone______________________

RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT As the
parent or guardian of the minor(s) listed on this registration form, I fully understand that gymnastics and
cheerleading involve 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 Flatirons Gymnastics Center. 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 Flatirons
Gymnastics Center and AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS each of its respective
administrators, directors, agents, officers, volunteers, and employees, other participants, any sponsors,
advertisers, 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. 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. Printed Name of Parent/Legal Guardian _____________________________________________
Signature of Parent/Legal Guardian ___________________________________________ Date ___________