Birthday Party Guest Sign-Up

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AGREEMENT

Agreement of Release and Waiver of Liability and Indemnity Agreement

1. I recognize that the use of the Atlanta Parkour  LLC (the “AP”) facilities and all related equipment and/or property  (collectively, the “AP Facility”) have known and unknown risks of  injury, including but not limited to: physical or emotional injury,  paralysis, death, or damage to myself, to property or to third parties.

2.  That I am participating in the classes, programs or workshops offered  by AP during which I will receive information and instruction about  various physical fitness programs, including but not limited to, the art  of parkour. I recognize that fitness programs require physical exertion  that may be strenuous and may cause physical injury, and I am fully  aware of the risks and hazards involved.

3. I understand that it  is my responsibility to consult with a physician prior to and regarding  my participation in the AP’s classes, programs or workshops. I represent  and warrant that I am physically fit and I have no medical condition  that would prevent my full participation in the exercise classes,  programs or workshops. I further represent and warrant that I will not  be under the influence of alcohol or any substance, which would impair  my ability to undertake activities in the AP Facility.

4. In  consideration of being permitted to participate in classes, programs or  workshops, I agree to assume full responsibility for any risks, injuries  or damages, known or unknown, which I might incur as a result of  participating in the program.

5. In consideration of being  permitted to participate in AP classes, programs or workshops, I  knowingly, voluntarily and expressly waive any claim I may have against  AP for injury or damages that I may sustain as a result of participating  in the program.

6. In consideration of AP permitting to use the  AP Facility, I, my spouse, assignees, heirs, guardians, and legal  representatives hereby expressly assume all risks in using the AP  Facility and voluntarily indemnify, release from liability, agree to  defend and hold harmless AP and its subsidiaries and affiliates and any  of their officers, directors, employees, agents, insurance carriers and  representatives for any accident, injury, illness, death, loss, theft,  damage to person or property, or other consequences suffered by me or my  child arising or resulting directly or indirectly from my or my child’s  use of the AP Facility, including but not limited to, claims arising  from or related to AP’s negligence and/or products liability, including  strict products liability, except that which is the result of gross  negligence and/or wanton misconduct.

7. In the event that my child  or I is injured, I agree to assume financial obligation, either through  my health insurance, or through some other means, for any medical costs  that my child or I incurs. The AP assumes no responsibility for any  medical expenses, injury or damage suffered by me or my child in  connection with my or my child’s use of the AP Facility.

8. I, my  heirs and legal representative, on my own behalf and / or on behalf of  my child, forever release waive, discharge and covenant not to sue the  AP, its directors, owners, shareholders, officers, parents, affiliates,  subsidiaries, coaches, employees volunteers, sponsors, officials and /  or agents (collectively, the “Releasees”) for any injury or death caused  by their negligence or other acts while I or my child are on or about  the AP Facility or using equipment or participating in any program  affiliated with the AP, including but not limited to parkour activities  and training exercises, gymnastics, personal training, open gym hours  and activities, and open gym use.

9. I agree as an adult  participant, or as the parent / legal guardian of a minor participant,  in consideration for being permitted to use the AP Facility, grant the  AP and its affiliated entities and assigns, the irrevocable right and  permission to photograph and / or record me or my child in connection  with AP, and to use the photograph and/ or recording with or without  name identification for all purposes, including advertising and  promotional purposes, in any manner and in any and all media now or  hereafter known, in perpetuity throughout the world, without restriction  as to alteration. I waiver any right to inspect or approve the use of  any photographs or recordings, and acknowledge and agree that the rights  granted in this release are without compensation of any kind. All  photographs and / or recordings are exclusive to AP.

10. I promise  to hold blameless the Releases in the event that my child or I suffer  bodily injury or harm, and 911 or any other law enforcement agency is  summoned and provides aid to either my child or myself. I promise to  waive to the greatest extent possible liability for emergency services  provided to either my child or myself and for any resulting consequences  while on the AP Facility or subsequently thereafter.

11. I  expressly agree that this release is intended to be as broad and  inclusive as the State of Georgia will allow and that if any portion is  held invalid, I agree that the balance shall, not withstanding, continue  in full legal force and effect.

12. I hereby acknowledge that the  AP has rules and policies in place regarding safety, use of the AP  Facility, and conduct. I acknowledge that I have reviewed and that I  understand all safety rules and other rules of use and participation at  the AP. I hereby acknowledge that failure to follow any of these rules  and policies may results in complete revocation of all privileges  provided by the AP without refund of any prepaid fees.

PARTICIPANT INFORMATION

I  have read the above release and waiver of liability and fully  understand its contents. I voluntarily agree to the terms and conditions  stated above.

If participant is under 18: (To  be completed and signed by parent / guardian for participants under 18  years of age). I certify that I am the parent or legal guardian of the  above participant and that I am entitled to his or her custody and  control. I do hereby give permission for the child to use the AP  Facility. I realize that the child may be exposed to a risk of injury or  death. I understand the dangers incidental to using the AP Facility and  the need for safety precautions, and I have discussed these dangers and  the need for safety precautions with the child.

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