RELEASE/WAIVER

AT MERCURY GYMNASTICS, WE ARE DEDICATED TO PROVIDING YOUR CHILD A FUN, SAFE AND MEMORABLE EXPERIENCE.  HOWEVER, ON OCCASION, ACCIDENTS MAY HAPPEN, THEREFORE, WE REQUIRE YOUR PRIOR CONSENT FOR YOUR CHILD’S PARTICIPATION IN ACTIVITIES AT MERCURY.

PLEASE READ CAREFULLY, THE ASSUMPTION RISK AND WAIVER OF LIABILITY.  COMPLETE AND SIGN THIS FORM.  YOU MUST HAVE THIS FORM AT SIGN IN.  (ADDITIONAL FORMS ARE ALWAYS AVAILABLE.)

As legal guardian of                                                                                   (child), I agree that Mercury Gymnastics, Inc. Along with the employees, agents, officers, and directors of the organization shall not be liable for any injuries, losses, or damages occurring as a result of my child’s participation in gymnastics, a birthday party, or any event at Mercury except where such injury, loss, or damage is the result of intentional or reckless conduct of the organization or individuals identified above and I hereby waive and release any and all claims which may be made against Mercury.  Although accidents are rare, I am fully aware of and appreciate the risks, including the risk of catastrophic injury, paralysis, even death, as well as damages associated with participation.  I further acknowledge, understand, appreciate, and agree that my participation may result in possible exposure to and illness from infectious diseases, including, but not limited to, MRSA, Influenza, and COVID-19.  While particular rules and personal discipline may reduce the risk, the risk of serious illness and death does exist.  I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the releasees or others and assume full responsibility for my participation and exposure.

As a legal parent or guardian of this participant, I hereby verify by my signature that I fully understand and accept each of the above conditions for permitting my child to participate in gymnastics, a birthday party or any event at Mercury.

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PARENT OR LEGAL GUARDIAN SIGNATURE                                                                                 

 

DATE                                    

Mercury Gymnastics

10551 N Ambassador Drive Kansas City, MO 64153

816-880-9996

mercurygym@mail.com

© 2020  Mercury Gymnastics 2020