As Consideration for being allowed to enter the class space and/or Participate in any class, party and/or program at Leaps and Bounds, Sprout Foundation the undersigned, on his or her behalf, and on the behalf of the Participant(s) identified below, acknowledges, appreciates, understands, and agrees to the following:
 1.       I represent that I am the parent or legal guardian of the Participant(s) named or I have obtained permission from the parent/legal guardian of the Participant(s) named below to execute this agreement on their behalf. I understand that I am solely responsible for the care of the Participant(s) named below.
 2.       I acknowledge and understand that there are known and unknown risks associated with participation in Music and Movement activities and the use of the play area and any and all other equipment, including but not limited to music classes, and birthday parties, which include but are not limited to: contusions, fractures, scrapes, cuts, bumps. I acknowledge and understand that these risks.
 3.       I agree that the Participant(s) named, and I shall comply with all stated and customary terms, posted safety signs, rules, and verbal instructions as conditions for participation in any event at Music and Movement.
4.       I, for myself, the Participant(s) named, our heirs, assigns, representatives, and next of kin agree to hold harmless, release, waive and indemnify the owner of this Music and Movement, Leaps and Bounds Therapy, Sprout Foundation, their predecessors, parent, subsidiaries and affiliates, officers, and employees from any and all injuries, liabilities or damages from participation, except for those arising from the gross negligence or willful misconduct.
5.       I additionally agree to indemnify the independent owner of this facility, Music and Movement, their predecessors, parent, subsidiaries and affiliates, officers, and employees for any defense cost or expense arising from any and all claims, injuries, liabilities or damages arising from participation, except for those arising from the gross negligence or willful misconduct of Music and Movement.
6.       I am of physical and cognitive ability to participate and am legally competent to understand and complete this agreement. I hereby execute this agreement without coercion.
7.       The invalidity or unenforceability of any provision of this Agreement shall not affect the validity or enforceability of any other provision of this Agreement, which shall remain in full force and effect.
8.      Any controversy, dispute, or claim arising out of or related to this Agreement, which the parties are unable to resolve by mutual agreement, shall be settled exclusively by submission by either party of the controversy, claim or dispute to binding arbitration; said arbitration to take place exclusively before a single arbitrator located within 25 miles of the event location and in accordance with the rules of the American Arbitration Association then in effect.
9.     I further acknowledge and accept the terms and conditions of this waiver, release, hold harmless and indemnification agreement as detailed in 1 through 7 above for any and all future visits during the next twelve (12) month period. Please keep this waiver, release, hold harmless and indemnification agreement on file and active, for the participants and parent/guardian listed above, for a period of twelve (12) months from the date of acceptance.