Action Kids at Brentwood Commons Waiver Policy

  • Action Kids at Brentwood Commons requires a waiver/registration form for all participants.
  • Participants over age 18: We have adult participation forms for completion at the front desk
  • Participants under age 18: The release/waiver must be signed by the parent or legal guardian of the participant.

Step parents, aunts and uncles, grandparents, “close family friends” etc, cannot sign for the child, unless recognized as a legal guardian by the court.
We do not accept verbal releases from the parents.
Hand written notes are not acceptable.
All releases/waiver must be fully completed in ink and signed in ink.
Waiver for birthday parties and field trips are only valid the day of the event and are not entered into our system.

Please call us if you have any questions.

GENERAL RELEASE, WAIVER OF LIABILITY AND ASSUMPTION OF THE RISK (Inherently Dangerous Activity)
I (the “Participant”) understand that the individual and/or group gymnastics and other physical exercise, sessions, programs or activities conducted at Action Kids at Brentwood Commons, Inc. (“Action Kids”) may involve gymnastics, tumbling, fitness, trampoline, cheerleading, dance, ball sports, swimming and martial arts, as well as the use of exercise equipment, amenities and facilities owned and/or operated by Action Kids, its representatives or its contractors (collectively, the “Activities”).

I , individually, or by and through my parent/guardian, as a condition to and in connection with my voluntary participation in such Activities do hereby RELEASE and DEFEND, HOLD HARMLESS, and INDEMNIFY Action Kids , its shareholders, directors, officers, agents, faculty, volunteers, employees and all others from and against any and all liability, claims, charges, demands, expenses, fees, fines, penalties, losses, suits, proceedings, actions and costs thereof (including attorneys’ fees and court costs for all actions and appeals therefrom) for any and all injuries , including those resulting in death, damages, or liabilities, at law or in equity, of any kind and nature, resulting from or arising out of my participation in the Activities and/or the negligence of Action Kids.

I understand that the Activities in which I will be engaged may be dangerous and may carry some inherent risk, and I, individually, or by and through my parent/guardian, voluntarily choose to ASSUME THOSE RISKS. I also recognize that by participating in the Activities I may experience health risks including, but not limited to, death or disability, and I willfully ASSUME THOSE RISKS.

I assume full responsibility during and after my participation for my choices and consent to release Action Kids from Liability. THIS GENERAL RELEASE, WAIVER OF LIABILITY AND ASSUMPTION OF RISK IS BINDING ON THE PARTICIPANT AND/OR HIS/HER PARENT(S) OR LEGAL GUARDIAN(S), PERSONAL REPRESENTATIVE(S), HEIRS, AND ASSIGNS. I ACKNOWLEDGE, BY SIGNING BELOW, THAT I AM EITHER OVER THE AGE OF 18 OR THIS RELEASE IS BEING ENTERED INTO BY MY PARENT OR LEGAL GUARDIAN.

In the event of accident or emergency, I hereby authorize Action Kids to transport the Participant, or cause the Participant to be transported, to the hospital for medical treatment and I hold Action Kids and its representatives harmless with regard to same.

I hereby agree to be fully and solely responsible for all medical expenses which may be incurred as a result of the Participant’s participation in the Activities.

I understand that my participation in the Activities at Action Kids may be photographed, or videotaped, audio recorded, or otherwise recorded. I acknowledge that Action Kids retains the right to use such photographs, videotapes, motion picture recordings or any other recording of events for publicity, advertisement or any other legitimate purpose and I hereby consent to such use. I, individually, or by and through my parent/guardian, hereby certify that I have carefully read the foregoing and do consent to be bound by the affixed hereto, including any signature affixed in electronic format.

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Action Kids at Brentwood Commons Inc. Waiver/Registration Form
Student Information
Paren/Guardian #1
Address Same as Above?
Custodial Parent
Use this as primary email address
Paren/Guardian #2
Custodial Parent?
Address Same As Above?
Use this as primary email address
Parent/Legal Guardian
Confirmation
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