Liability Release Form
I, the undersigned, being the parent/legal guardian of the child listed below, fully understand that the staff and the coaches of Atomic Athletics, LLC, (herein after “AA”) are not physicians, or medical practitioners of any kind. With that in mind, I hereby release AA and their director, coaches or employees to see and/or provide first aid to my child in the event of an injury or illness, and if deemed necessary, call or an ambulance, for which I agree to pay. As the parent/legal guardian of the student listed below, I agree to provide health insurance for the student listed bellower and guarantee payment of any medical expenses incurred as a result of training, performing, traveling, or participation in activities with AA. I understand it is my responsibility to see physician approval before my child engages in any physical/athletic activity with AA. I also understand that I am responsible for my child’s behavior and safety while on the AA premises, including parking lots, bathrooms, waiting areas, etc.

RELEASE OF LIABILITY, WAIVER OF LIABILITY/ASSUMPTION OF FULL RESPONSIBILITY FOR ALL RISK OF BODILY INJURY, DEATH OR DAMAGES    

As a parent/legal guardian of (child’s name) ____________________________________. I hereby consent to his/her participation in any or all activities with Atomic Athletics, LLC.(hereinafter “AA”), as well as his/her participation in the following, but not limited to, classes, practices, cheerleading, tumbling, competitions, clinics, open gyms, parents night out, parties, and travel. I understand that participation in tumbling, cheerleading, trampolining and any and all other activities with AA may result in injuries such as paralysis or even death from various causes, known and unknown, which include but are not limited to, the heights from equipment and the body during certain movements, rotation of the body and movement of the body.I am fully aware of the inherent risk involved in tumbling, cheerleading, trampolining and any and all other activities with AA, and the possibility of injury or death from participating in these activities.In consideration for allowing my child to participate in activities with AA, I, my heirs and assigns, next of kin, and all acting on my behalf agree to waive any and all rights, claims, damages, actions, cause of action or suits of any kind or nature whatsoever which I have or my child has against AA or any agent, employee, representative or acting on their behalf and to indemnify, defend wan hold harmless AA any agent, employee, representative or other person acting on their behalf, from the liability or ordinary negligent conduct which may occur.Should any or parts of this agreement be null and void, the balance of the agreement shall remain valid and saints its full force and effect.This acknowledgement of risk and waiver of liability has been read by me in its entirety, and I understand and agree to it in its entirety as well as have signed it voluntarily. I am eighteen years of age or older.



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Parent/ Guardian Name *
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By adding your name electronically on this form you are Agreeing to the above statements. Please Sign your name AND Date. *
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