Drop-in Gym Waiver - California Sports Center

Participant Waiver Form
RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND
INDEMNITY AGREEMENT (“AGREEMENT”)
In consideration of participating in programs at California Sports Center I represent that I understand the nature of this Activity
and that I am qualified, in good health, and in proper physical condition to participate in such Activity. I acknowledge that if I
believe event conditions are unsafe, I will immediately discontinue participation in the activity. I fully understand that this
Activity involves risks of serious bodily injury, including permanent disability, paralysis and death, which may be caused by my
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 my
participation in the Activity.
I hereby release, discharge, and covenant not to sue California Sports Center 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, or anyone on my 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 participant
Date:________________________
PARENTAL CONSENT
AND I, the minor’s parent and/or legal guardian, understand the nature of the above referenced activities and the Minor’s
experience and capabilities and believe the minor to be qualified to participate in such activity. I hereby Release, discharge,
covenant not to sue and AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS each of the Releasees from all
liability, claims, demands, losses or damages on the minor’s account caused or alleged to have been caused in whole or in part by
the negligence of the Releasees or otherwise, including negligent rescue operations, and further agree that if, despite this release, I,
the minor, or anyone on the minor’s behalf makes a claim against any of the above Releasees, I WILL INDEMNIFY, SAVE AND
HOLD HARMLESS each of the Releases from any litigation expenses, attorney fees, loss liability, damage, or cost any Releasee
may incur as the result of any such claim.
PHOTO RELEASE
I am aware that individual and group publicity photos and videos are taken from time to time and in consideration for my or my
child(ren)’s participation I hereby grant my permission for my child’s likeness to be used in California Sports Center publicity or
advertising.
___________________________________________
Printed name of Parent/or Legal Guardian
__________________________________________
Signature of Parent/or Legal Guardian
Date:_______________________
___________________________________________
Signature of California Sports Center Employee

Drop-in Gym: Participant Information
Printed name of participant _____________________________________ M / F Birth Date: ____________________
CSC site where your child takes regular classes (please circle):
Race St. Morgan Hill Malone Cambrianna Great Oaks
Today’s Date: __________ My Child is: An Active Gymnastics Member Not currently enrolled: _________________
My child’s current level is: _______________________________
Emergency Contact Not on Site_____________________ Emergency Contact Number ________________________
Are there any limitations or a medical condition our staff should be aware of No Yes (please describe)
________________________________________________________________________________________________
________________________________________________________________________________________________
Drop-in Gym Rules
Parents are encouraged to use this time to observe their kids in action. Remember, however, that our rules are to be respected
by all parents who stay to observe. All participants must read and agree to the following rules before joining us!
1. CSC Instructors are in charge at all times. Participation is allowed only when following the guidelines of the instructors, and
always under their supervision. Their concern first and foremost is the safety of the participants. Secondarily, they are
there to assist participants, make sure activities occur in an organized fashion, and monitor the usage of events /
equipment.
2. Sign-in is required of all participants (even those members with a waiver on file).
3. Drop-in Gym is open to Active Gymnastics Members ages 6-23, enrolled in Recreational Levels, Team Development, or
Competitive Team. Preschool members (ParentTots, TinyTots, TumbleTots, and Pre-Rec students who are under the age of
6 are NOT permitted to participate. (PLEASE NOTE: Team Development “SuperKids” students are the only children under
age 6 allowed on the gym floor at Open Gym, and a parent is required to stay in the lobby.)
4. FREE Participation for Currently Enrolled (“Active”) Gymnasts
a. Annual or Monthly Membership – defined as being currently enrolled in, and actively attending, a regularly
scheduled gymnastics class at least once a week at one of our private sites (our city site participants are not CSC
Members).
b. Sign-in by a parent/legal guardian, and having an individual waiver on file
c. Agreeing to these written rules.
5. Trampoline is required to be directly supervised by an Instructor at all times, and for safety reasons its usage will be
restricted during Drop-in Gyms.
6. Equipment use & activity must be commensurate to each participant’s level. No unassisted flipping skills are permitted
for any student below an advanced level (i.e. below Advanced Rec or Level 4). See an instructor for approved “flipping”
progressions and progressions for other inverted activities. Participants should feel free to ask for guidance about what
activities are appropriate, or for a copy of a Rec Level Skills Card for reference.
7. Only CSC Instructors may assist or spot participants with gymnastics activities.
8. General Safety Rules apply throughout the gym. No horseplay, rough housing, running, pushing, misuse of equipment, or
dangerous activities will be tolerated. Dismissal from Drop-in Gym for any of these reasons will be immediate, and return
to activities will not be permitted that day.
10. No food or drink is allowed on the gym floor at any time! Please enjoy drinks and snacks in our lobby area.
Last updated 10/8/13 cdb