Update Page Header

ACHIEVE PARTICIPANT WAIVER FORM - ACKNOWLEDGEMENT OF RISK * CONSENT AND ASSUMPTION OF RISK * WAIVER AND RELEASE OF LIABILITY * CONSENT TO MEDICAL TREA

3460 South Fairplay Way Aurora, CO 80014 | 720-330-2200 | FrontDesk@AchieveGymnastics.com
  • Please enter the full name of the child that will be participating in activities at Achieve Gymnastics.
  • For our filing, which Achieve Program are you signing this waiver for and your child is participating in? This waiver covers ALL activities for up to 12 months.
  • Acknowledgement of Risk - Children I am the parent and/or legal guardian of all the children in my household. I recognize that severe injuries, including permanent paralysis or death can occur in sports or activities involving height or motion; those activities include but are not limited to gymnastics, tumbling, trampoline, movement education, dance, and stunting. I also realize that my child(ren) will be performing and training on all gymnastics events plus various training devices, including trampoline. I certify that I have consulted a physician, to the extent that I deem appropriate, concerning my child(ren)'s participation in these activities. I represent to DBA Sports, Inc. | Achieve Gymnastics (DBA | AG), that my child is medically fit to participate. I further acknowledge and understand, that by participating in group activities my children may have exposure to communicable or infectious diseases. I am also aware that participation in day camps, open gym and competition involves transportation to and from such events and that such transportation could result in injury or death in a vehicular accident. I furthermore recognize that due to increased movement, height, flipping, twisting and inversion, the competitive pursuit of these sports and activities carries a higher degree of risk of catastrophic injury than do the recreational versions.
  • Acknowledgement of Risk - Adults I hereby represent that I am at least eighteen (18) years of age or older; I recognize that severe injuries, including permanent paralysis or death can occur in sports or activities involving height or motion; those activities include, but are not limited to, lifting and carrying, gymnastics, tumbling, trampoline, movement education, dance, and stunting. I also realize that I may be utilizing all gymnastics equipment, plus various training devices, including trampoline. I certify that I have consulted a physician, to the extent that I deem appropriate, concerning my participation in these activities. I represent to DBA Sports, Inc. | Achieve Gymnastics (DBA | AG), that I am medically fit to participate. I further acknowledge and understand, that by participating in group activities I may have exposure to communicable or infectious diseases. I am also aware that participation in day camps, open gym, birthday parties and competition involve transportation to and from such events and that such transportation could result in injury or death in a vehicular accident.
  • Consent and Assumption of Risk Being fully aware of these dangers, I hereby give consent for myself and my child(ren) to participate in any and all DBA | AG programs and activities for which they are registered and I ACCEPT ALL RISKS associated with this participation.
  • Waiver and Release In consideration for my and my child(ren)'s participation, I hereby, on behalf of myself and my child(ren) and our respective heirs and successors, PROMISE NOT TO SUE AND FOREVER RELEASE AND DISCHARGE DBA | AG, its officers, directors, shareholders, employees, contractors, teachers, coaches and volunteers from all liability resulting from damages or injuries incurred as a result of participation in DBA | AG programs, including those resulting from acts of negligence. I understand that DBA | AG has relied upon this agreement in determining the extent of insurance coverage to be obtained, and that in the absence of this Release, DBA | AG would charge considerably higher fees to participants.
  • Consent to Medical Treatment In the event of an accident or emergency, I hereby authorize DBA | AG and its representatives, including its employees, contractors, teachers, coaches and volunteers, to render first aid to myself and my child(ren) to the extent they deem appropriate. I further authorize DBA | AG and its representatives to transport or arrange for transportation by ambulance, if DBA | AG deems it appropriate, of myself and child(ren) to a hospital or any other medical or dental treatment facility. Additionally, I hereby agree to be personally responsible for payment of all medical and dental expenses, including transportation, which may be incurred by myself on behalf of myself and my child(ren) as a result of any injury sustained while participating at or for DBA | AG, including future medical and dental expenses related to such injury.
  • Photo Release I am aware that individual and group publicity photos and videos are taken from time to time and that the gym has a program whereby webcams are in use and participants are under streaming video surveillance that is used for training and management purposes, in addition to, secure accessibility from the web. In consideration for myself or my child(ren)'s participation, I grant permission for our likeness to be used in DBA Sports Inc. | Achieve Gymnastics publicity or advertising, including on social media platforms.
  • Voluntary Agreement I have read and understand this ACKNOWLEDGEMENT OF RISK, CONSENT AND ASSUMPTION OF RISK, WAIVER AND RELEASE OF LIABILITY, CONSENT FOR MEDICAL TREATMENT and PHOTO RELEASE. My selection through the Portal indicates my voluntary agreement with the terms set forth above.
  • MM slash DD slash YYYY
  • I have read and understand this ACKNOWLEDGEMENT OF RISK, CONSENT AND ASSUMPTION OF RISK, WAIVER AND RELEASE OF LIABILITY, CONSENT FOR MEDICAL TREATMENT and PHOTO RELEASE. My signature below indicates my voluntary agreement with the terms set forth above.