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Corte Madera CA, 94939
4157267125 info@sk8gym.com

    Minor Waiver Form



    I, The undersigned parent/person having legal custody/ guardianship of the above said minor, give permission for the minor to participate in SK8 GYM. The minor is physically able to participate in all activities as described in the announcement for the program. In consideration of said minor being permitted to participate in any and all tour programs as well as the use of facilities and/or equipment I, on behalf of myself (as parent, guardian or participant) hereby:

    1. Acknowledge that I have read this document, I have inspected the facilities and equipment, I accept them as being safe and reasonably suited for the purposes intended, I voluntarily sign this document.

    2. Release SK8 GYM, its directors, officers, employees, agents, representatives and volunteers (collectively "releases") from all liability to me for any loss or damages to property or injury or death to person, whether caused by Releases or otherwise and while such minor is in attendance of SK8 GYM.

    3. I agree not to sue Releases for any loss, damage, injury, or death described above and I will indemnify and hold harmless Releases and each of them from any loss, liability or damage or cost they may incur due to said minors presence in attendance of SK8 GYM, whether caused by the negligence of the Releases or otherwise.

    4. I assume full responsibility for, and risk of bodily injury, death or property damage due to the negligence of the releases or otherwise.

    5. I do hereby authorize SK8 GYM as agent for the undersigned, to consent with respect to said minor, to any x-ray examination, anesthetic, medical, dental, or surgical diagnosis or treatment, and hospital care which is deemed advisable by and is to be rendered under general or special supervision of any physician and surgeon licensed under the provisions of the California Medical Practice Act on the medical staff of any hospital, whether such diagnosis or treatment is rendered at the office of the physical or the hospital, I understand that SK8 GYM is not responsible for any costs incurred for medical care.

    6. I give SK8 GYM permission to use any media of likeness of me or media or likeness of my children in SK8 GYM general publicity and campaign materials.

    I intend this document to be as broad and inclusive as permitted by the laws of the State of California.

    I HAVE READ AND UNDERSTOOD THIS AGREEMENT, AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY OR HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS AND ASSIGNS MAY HAVE AGAINST THE RELEASEES.

    I ACCEPT

      Adult Waiver Form



      I, The undersigned parent/person having legal custody/ guardianship of the above said minor, give permission for the minor to participate in SK8 GYM. The minor is physically able to participate in all activities as described in the announcement for the program. In consideration of said minor being permitted to participate in any and all tour programs as well as the use of facilities and/or equipment I, on behalf of myself (as parent, guardian or participant) hereby:

      1. Acknowledge that I have read this document, I have inspected the facilities and equipment, I accept them as being safe and reasonably suited for the purposes intended, I voluntarily sign this document.

      2. Release SK8 GYM, its directors, officers, employees, agents, representatives and volunteers (collectively "releases") from all liability to me for any loss or damages to property or injury or death to person, whether caused by Releases or otherwise and while such minor is in attendance of SK8 GYM.

      3. I agree not to sue Releases for any loss, damage, injury, or death described above and I will indemnify and hold harmless Releases and each of them from any loss, liability or damage or cost they may incur due to said minors presence in attendance of SK8 GYM, whether caused by the negligence of the Releases or otherwise.

      4. I assume full responsibility for, and risk of bodily injury, death or property damage due to the negligence of the releases or otherwise.

      5. I do hereby authorize SK8 GYM as agent for the undersigned, to consent with respect to said minor, to any x-ray examination, anesthetic, medical, dental, or surgical diagnosis or treatment, and hospital care which is deemed advisable by and is to be rendered under general or special supervision of any physician and surgeon licensed under the provisions of the California Medical Practice Act on the medical staff of any hospital, whether such diagnosis or treatment is rendered at the office of the physical or the hospital, I understand that SK8 GYM is not responsible for any costs incurred for medical care.

      6. I give SK8 GYM permission to use any media of likeness of me or media or likeness of my children in SK8 GYM general publicity and campaign materials.

      I intend this document to be as broad and inclusive as permitted by the laws of the State of California.

      I HAVE READ AND UNDERSTOOD THIS AGREEMENT, AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY OR HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS AND ASSIGNS MAY HAVE AGAINST THE RELEASEES.

      I ACCEPT

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