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PCG Liability Waiver 

Which class will you be attending?
Wednesday 5:15-6:00
Thursday 4:00-4:45

Please let us know of any allergies, medications, restrictions.

RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK. AND INDEMNITY AGREEMENT ("AGREEMENT")

In consideration of participating in the Port City Kids' Group, Inc., d/b/a Port City Gymnastics, 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 Port City Kids' Group, Inc., d/b/a Port City Gymnastics, 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 these releasees from any loss, liability, damage, or cost, which any

may incur as the result of such claim.


FOR PARENTAL/LEGAL GUARDIAN/SIBLING/CAREGIVER AND PARTICIPATING ADULT CLIENTS OF:

BIRTHDAY PARTIES

MOMMY & ME

OPEN GYM

SLEEPOVERS

SPECIAL EVENTS 

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