Your name:
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First Name
Last Name
Phone
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(###)
###
####
Email
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What are the names and ages of all children who will be attending class with us?
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Are there any outstanding health issues that may impact your child/children when training (if so, please provide details)?
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Which skills are most important to you to see your child improve in?
Athleticism
Situational awareness
Self-defense
Social skills
What do you look for when deciding on a youth training program for your child to participate in?
Terms & Conditions
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ACKNOWLEDGEMENT OF RISK AND RELEASE OF LIABILITY
For Participants Over the Age of Majority or signed for by guardian in the Province or Territory in which the Athletic Activities provided by the Organization.
WARNING: THIS AGREEMENT WILL AFFECT YOUR LEGAL RIGHTS.
READ IT CAREFULLY!
Every Person Read and Understand this Waiver Before Participating in physical
activities. The following waiver of all claims, release from all liability, assumption of all risks, and other terms of this agreement are entered into by me (the “Participant) with and for the benefit of: their directors, officers, employees, volunteers, business operators, agents and site property owners or Occupiers (the“Organization”). Occupiers is defined in accordance with the definition of Occupiers contained in the Occupiers Liability legislation applicable to the Province or Territory in which the physical activities are provided by the Organization. Please Initial Each item below after Reading and Understanding each item: “Athletic Activities” include but are not limited to contact and non-contact sports, fitness activities,martial arts, personal training instruction and activities, use of facilities, and fitness programs and services provided to the Participant by Elevate Muay Thai.
THIS ACTIVITY WAIVER & RELEASE (this “Agreement”) dated from the participants initial appointment between Elevate Muay Thai of 6 George St South, Unit 2A, Brampton, ON, L6Y 1L9 (the “Activity Provider”).
* IN CONSIDERATION OF the covenants and agreements contained in this Agreement and other good and valuable consideration, the receipt of which is hereby acknowledged, the parties to this Agreement agree as follows:
Consideration 1. Being of lawful age and in consideration of being permitted to participate in the activity described below, the Participant releases and forever discharges the Activity Provider, its owners, directors, officers, employees, agents, assigns, legal representatives and successors from all manner of actions, causes of action, debts, accounts, bonds, contracts, claims and demands for or by reason of any injury to person or property, including injury resulting in the death of the Participant, which has been or may be sustained as a consequence of the Participant's participation in the activity described below, and not withstanding that such damage, loss or injury may have been caused solely or partly by the negligence of the Activity Provider.
2. The Participant understands it would not be permitted to participate in the activity described below unless it signed this Agreement.
Details of Activity
The Participant will participate in either of the following activities: Boxing, Brazilian Jiu-Jitsu, Muay Thai, and/or Personal Training.
* Concurrent Release 4. The Participant acknowledges that this Agreement is given with the express intention of effecting the extinguishment of certain obligations owed to the Participant and with the intention of binding the Participant's spouse, heirs, executors, administrators, legal representatives and assigns.
Fitness to Participate 5. The Participant acknowledges that the Participant does not have any physical limitations, medical ailments, physical or mental disabilities that would limit or prevent the Participant from participating in the above mentioned activity. If required, the Participant will obtain a medical examination and clearance.
Full and Final Settlement 6. The Participant hereby acknowledges and agrees that the Participant has carefully read this Agreement, that the Participant fully understands the same, and that the Participant is freely and voluntarily executing the same.
7. The Participant understands that by signing this Agreement, the Participant agrees to be forever prevented from suing or otherwise claiming against the Activity Provider for any property loss or personal injury that the Participant may sustain while participating in or preparing for the above noted activity.
8. The Participant has been given the opportunity and has been encouraged to seek independent legal advice prior to signing this Agreement.
* 9. This Agreement contains the entire agreement between the parties to this Agreement and the terms of this Agreement are contractual and not a mere recital. Governing Law 10. This Agreement will be governed by and construed in accordance with and governed by the laws of the Province of Ontario.
I have read and agree to the terms above *
Thank you! We look forward to seeing you in class.
Please bring the following: - Comfortable athletic wear (shirt and shorts)
- Indoor shoes - Water - Gloves (if you don't have any to start, not a problem. We have you covered!)