Too Busy to Browse
Menu
Programs
Cheerleading
Tumbling Classes
Private Lessons
Events
Upcoming Events
Summer Camps
Birthday Parties
Helpful Links
Waiver
Our Staff
Job Postings
Blog
Drop Form
Pause Form
Member Login
New Member Special
Too Busy to Browse
Menu
Programs
Cheerleading
Tumbling Classes
Private Lessons
Events
Upcoming Events
Summer Camps
Birthday Parties
Helpful Links
Waiver
Our Staff
Job Postings
Blog
Drop Form
Pause Form
Member Login
New Member Special
NEW MEMBER SPECIAL
Waiver
Waiver
WAIVER
Waiver and Release of Liability and Hold Harmless Agreement
"
*
" indicates required fields
Parent or Guardian Name
*
First
Last
Participant's Name
*
First
Last
Participant's Date of Birth
*
MM slash DD slash YYYY
Phone
*
Email
*
Parent Consent to Participate
*
I agree to the participation waiver.
LIABILITY WAIVER, RELEASE, INDEMNITY AND HOLD HARMLESS AGREEMENT
This agreement is entered into between the undersigned and Supreme Athletics Royalty, LLC. for valuable consideration and mutual covenants. I represent that I am the legal guardian of designated student(s), or otherwise legally authorized to execute this agreement on behalf of the individuals referenced herein. On behalf of said named individual, myself and my representatives, agents, servants, guests, heirs and assigns, I do hereby release, waive, discharge and covenant not to sue Shane Wycoff, Garrett Kimmel, Supreme Athletics Royalty, LLC, and all agents, servants, volunteers, employees, landlords, property owners, independent contractors, and all individuals working at their direction upon the premises of Supreme Athletics Royalty, LLC, (hereinafter referred to as "Supreme Athletics") or at any other location for any event in which Supreme Athletics Royalty, LLC is engaged, for any and all claims, including but not limited to personal injury, accidents, illness (including death) and property loss. I recognize that all sports, physical activity or recreational activity, including, but not limited to cheerleading, tumbling, jumping, conditioning and stunting, bears the risk of injury, including serious bodily injury or death. On behalf of the above-named individual, myself, and my representatives, agents, servants, heirs and assigns, I assume all risks associated with entry upon the premises located at Supreme Athletics Royalty, LLC located at 2716 Kotter Avenue, Evansville, Indiana, 47715 and participation in or observation of the activities or events of Supreme Athletics Royalty, LLC, at any location.
I also agree to indemnify and hold harmless "Supreme Athletics" (as defined above)from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney fees brought as a result of my involvement or the involvement of the above referenced individuals in any of the activities of Supreme Athletics Royalty, LLC, including, but not limited to tumbling, cheering, jumping, stunting, conditioning, observing or participating in any event or activity of Supreme Athletics Royalty, LLC.
The undersigned further expressly agrees that the foregoing waiver, release, indemnity and hold
harmless agreement is intended to be as broad and inclusive as is permitted by the law of the State of Indiana and that if any portion thereof is subsequently rendered invalid, it is agreed that the balance shall continue in full force and effect. This agreement shall be governed by the law of the State of Indiana. I consent to jurisdiction over any disputes regarding this agreement, to be exclusively in the State of Indiana.
I have read this agreement and fully understand its contents and terms. I acknowledge that I am signing the agreement by my own voluntary act and intend by my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.
This form shall be executed by all participants above the age of 18, or by the legal guardian or other legally authorized representative of any minors below the age of majority.
As legal guardian of my designated student(s) (student(s)), I hereby consent to all student(s) participating in this facility's program(s). I recognize that potentially severe injuries can occur in any activity involving height or motion, including tumbling and related activities including cheerleading, tumble tramp, trampoline, stunting, pyramids, dance, swimming, martial arts, gymnastics and physical activity in general. I understand that it is the express intent of all staff and personnel to provide for the safety and protection of my student(s) and, in consideration for allowing my student(s) to use these facilities, I hereby COVENANT NOT TO SUE and FOREVER RELEASE this facility, affiliated and partner companies and organizations, property owners and lessors, staff, contractors, subcontractors, teachers, coaches, owners, directors and other members involved in this facility's program(s), from all liability and for any and all damages and injuries suffered by my student(s) during instruction, supervision, and/or control during any and all classes or extra activities.
ASSUMPTION OF RISK & WAIVER OF LIABILITY RELATING TO CORONAVIRUS/COVID-19
The novel Coronavirus (or COVID-19) is an extremely contagious virus and declared a worldwide pandemic by the World Health Organization. This virus can spread and be contracted person-to-person. Many local, state, and federal agencies--such as the Center for Disease Control on the federal level (CDC)--have put many policies, procedures, and recommendation in place to help reduce the spread of COVID-19. Examples are social distancing, wearing a mask, properly washing and sanitizing hands, etc.
Supreme Athletics Royalty has also put preventative measures in place to help reduce the spread of COVID-19, such as wearing of masks, practicing social distancing, sanitizing between classes, reduction of the number of spectators in the gym, temperature checks when necessary, mandatory washing of hands, and professional cleaning just to name some.
While this is not a complete list of all the steps we are taking as a business to help protect the health of our customers, athletes, and staff, Supreme Athletics Royalty cannot guarantee that your child or children will not become infected with COVID-19. Allowing yourself, your family members, or your athlete to be present or participate in tumbling, cheer, trampoline, flight, stretching, trampoline, preschool, 2/3 year old class, or any other class, clinic, camp, or program we have to offer does increase your risk and your child or children's risk of contracting COVID-19.
By allowing your athlete to be present and participate in any of our programs at Supreme Athletics Royalty, you acknowledge and assume the risk and possible exposure to COVID-19. You understand the contagious nature of the virus (COVID-19), or any virus for that matter, and voluntarily assume the risk. You understand you may be exposed and infected despite the preventative steps we are taking as a business. Not following our policies, procedures, and recommendations due to omission or negligence may result in the spread and contraction of the virus--this may also result in the dismissal of our gym.
It is your responsibility--the parent or legal guardian--to let the staff know if your athlete or anyone in your family has been infected or exposed to the COVID-19 and to take the proper steps to not spread or potentially spread the virus to anyone else.
I am voluntarily agreeing to assume 100% (all) the risks and accept responsibility for any and all exposure to illness and injury for myself, my family, and especially my child or children. This may include but isn't limited to COVID-19, other viral & bacterial diseases, personal injury, disability, and death.
On my behalf, and on behalf of my child and/or children, I hereby release, covenant not to sue, discharge, and hold harmless Supreme Athletics Royalty, its owner, its employees, representatives, agents, volunteers, or anyone else relating to the business. We agree to not hold liable, sue, and speak negatively as we navigate these new times. I understand and agree that this release includes any claims based on the actions, negligence, and omissions of Supreme Athletics Royalty, its employees, its owner, agents, representatives, volunteers, or anyone else relating to the business whether a COVID-19 infection occurs before, during, or after participation in any of our programs we offer or even while being on property at all.
By allowing yourself, anyone in your family, or your athlete to be on property and partake in any program we offer you assume the responsibly and risk, regardless if you have thoroughly read or accepted this new addition to our waiver because you understand there is a risk in allowing yourself or your child(ren) to partake in extracurricular activities such as athletics and any program we have to offer.
Signature
*