top of page

AERIAL ARTS Release of Liability and Waiver of Claims

PLEASE READ BEFORE SIGNING

In consideration of participating or allowing my child(ren) to participate in Aerial Arts classes at Beloved Aerial Arts located at 723 Alhambra Avenue, Martinez, CA I understand and agree that:

1. I am a student or a parent/guardian of a student and I have full legal responsibility for all decisions regarding myself and or my child(ren);

2. I am familiar with the physical nature and possible risk of injury while participating in aerial arts activities;

3. I am or my child(ren) is(are) physically, emotionally and mentally able to participate in this activity and, if on any day I or my child(ren) are not so able to participate I will not and/or will not allow my child(ren) to participate;

4. I will instruct and explain to my child(ren) that (A) all applicable rules for participation must be followed and (B) at all times during the activities the sole responsibility for personal safety remains on the participant;

5. It is my and my child(ren)’s right and responsibility to inform the instructor of any discomfort, pain, fatigue, dizziness or any other symptoms that may occur during the activities;

6. I acknowledge that images and videos of myself or my child(ren) may be captured. I release all rights and grant the permission for any and all educational, informational, promotional and non-commercial use;

7. I have not, nor have any member(s) of my household, been exposed to or diagnosed to be infected with COVID 19 within the last 30 days. I have not experienced any symptoms of fever, fatigue, difficulty breathing, or dry cough relating to COVID-19 or any communicable disease within the last 14 days and, if on any day I or my child(ren) are experiencing or have experienced such symptoms within the previous 14 days, I will not and/or will not allow my child(ren) to participate.

8. Aerial Arts practice includes physical movements that may be new to me or to my child(ren) and that may be strenuous and could result in physical injuries. As is the case with any physical activity, the risk of injury is always present and cannot be eliminated entirely.

9. In consideration of being allowed to participate in Aerial Arts practices, (A) I agree to assume full responsibility for any and all risks, injuries or damages, known and unknown, that I or my child(ren) might incur as a result of such participation and (B) I knowingly, voluntarily and expressly waive and release any and all claims I may have at any time against Sarah Stonerock or the owner or leaseholder of the building where the practices occur for injuries or other damages of any nature that I and/or my child(ren) may incur. I have read the above and fully understand the contents hereof and I am signing this voluntarily.

Date of birth
Month
Day
Year
Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.
bottom of page